J Korean Fract Soc.  1998 Jan;11(1):56-62.

Operative Treatment of Intraarticular Fractures of the Distal Radius

• Kang CN
• Wang JM
• Roh KJ
• Kim JO
• Kim DJ
• Oh JK
• Bang HC

Abstract

Intraarticular fractures of the distal part of the radius comprise a distinct subgroup of fractures that are difficult to manage and are associated with a high frequency of complication and represent one of the greatest challenges to the orthopaedic surgeon. We reviewed 30 cases(28 patients) of intraarticular fractures of the distal radius treated surgically in orthopaedic department of Ewha medical center between January 1993 to May 1996 and analyzed the correlation between the clinical end results and radiographic parameters. The clinical end results were significantly worse when radia inclination didn't exceed 15, or radial length was less than 10mm or dorsal tilt exceeded 0. Ulna styloid fractre did adversely affect the clinical results. In our study 2mm articular step off did not show any difference in clinical results. But this is thought to be the result of relatively short period of follow up. Therefore we need to analyse this factor with long term follow up data.

Keyword

Intraarticular fracture; distal radius; Surgical treatment

MeSH Terms

Follow-Up Studies
Intra-Articular Fractures*
Radius*
Ulna