वर्णन

दिव्य त्रिज्याइयस फिक्सकटर

प्र&ए

Q1: What is a Distal Radius Fixator and what is its primary function?
A1: A Distal Radius Fixator is an external stabilization device used to treat complex fractures of the distal radius. Its primary function is to maintain fracture reduction (length, alignment, and rotation) through ligament tension or direct fixation, creating a stable environment for bone healing.

Q2: What is the difference between bridging and non-bridging fixation?
A2:Bridging Fixation: Spans the wrist joint, with pins in the second metacarpal and radial shaft. Used for highly comminuted intra-articular fractures.

Non-Bridging Fixation: Does not cross the wrist joint, with distal pins directly in the radial epiphysis. Preserves wrist motion but requires adequate distal bone stock.

Q3: What are the key advantages over cast treatment or internal plating?
A3: Advantages include:

Superior maintenance of reduction in comminuted fractures

Minimal soft tissue disruption compared to plating

Adjustable after application

Ideal for open fractures with soft tissue compromise

Q4 What are the key technical considerations for successful outcomes?
A4: Critical technical factors include:

Proper pin placement to avoid nerve injury

Appropriate distraction (avoid over-distraction)

Anatomic restoration of radial length and inclination

Regular radiographic monitoring of reduction

Q5: How long is the Distal Radius Fixator typically maintained?
A5: Most Distal Radius Fixator remain in place for 5-8 weeks, depending on:

Fracture pattern complexity

Patient age and bone quality

Radiographic evidence of healing

Soft tissue condition

Q6: What rehabilitation is required during and after fixation?
A6: Essential rehabilitation includes:

Immediate: Active finger motion, elbow and shoulder exercises

During fixation: Edema control, tendon gliding exercises

After removal: Progressive wrist range of motion and strengthening

Q7: What specific fracture patterns are best suited for Distal Radius external fixation?
A7: Ideal indications include:

Comminuted intra-articular fractures (AO/OTA type C2-C3)

Open fractures with soft tissue injury

Polytruma patients requiring temporary stabilization

Osteoporotic fractures with poor bone quality

Q8: How does external fixation compare with volar plating for distal radius fractures?
A8: Comparison highlights:

External Fixation: Better for severe comminution, open injuries, and soft tissue compromise

Volar Plating: Allows earlier wrist motion but requires more dissection

Combined Approach: Often used together (hybrid fixation) for complex cases