Fixation of extra articular fracture
of inferior pole of patella by on needle stainless steel suture wire.
There was a comminuted articular fracture
of the distal radius with an anterior displacement (Figure 2).
Radiography of the carpal joint revealed that there was narrowing of the joint space, sclerosis of the subchondral bone, marginal osteophyte formation, periosteal bone proliferation and old articular fracture
of metacarpal bone (Fig.
Displaced intra articular fracture
of the distal radius.
Bennett's fracture (Figure 5) was first described by Edward Hallaran Bennett in 1882 and involves a partial articular fracture
of the base of the 1st metacarpal.
restoration by temporary fixation by K-wires done first and any loose small articular fragment was removed.
This rare injury corresponds to Salter and Harris type 4 and OTA type 33-B3 fractures (frontal, partial articular fracture
of the distal femur).
The fractures occurring in the older individuals will be due to trivial fall on outstretched hand causing extra articular fracture
in the osteoporotic bone.
The fixator can be used as supplemental fixation, if minimal internal fixation is used for the articular fracture
fixation, or converted to a non-joint spanning frame for fracture stabilization.
14) concludes that percutaneous pinning of unstable, extra articular fracture
of distal radius, provides only marginal improvement in radiological parameters compared with immobilization in cast alone.
Some reports mentioned that complex articular fractures
can be treated by ring external fixators and minimally invasive osteosynthesis, with the advantage of respecting the soft tissue.
Patients age 60 years, Gustilo type I, type II and type IIIC, associated pelvic fractures, intra articular fractures
, chest or abdominal injuries and non ambulatory patients were excluded.