Arthroscopically assisted osteosynthesis of XXXX of the distal radius.

@entity1 @entity174 @entity7334
BACKGROUND: @entity7334 of the distal radius pose a great challenge in orthopedic surgery. Conventional open reduction and internal fixation generally yields poor functional outcome. The technique of arthroscope-assisted surgery allows more accurate reduction of the articular surface and treatment of soft tissue lesions, both of which are necessary for regaining anatomic structure and satisfactory function. METHODS: Twenty wrists in 18 @entity1 with @entity7334 of the distal radius received arthroscopic surgery and percutaneous pinning with or without external skeletal fixation and bone grafting. A new traction method was designed that allows arthroscopic surgery and fluoroscopic monitoring to be performed simultaneously. Postoperative follow-up averaged 24.7 months. RESULTS: All except one of these @entity1 returned to work within 3 to 6 months after surgery. Later collapse with minimal articular step-off was noted on radiographs before osseous union in two @entity1 who did not undergo bone grafting. Decreased radial height because of subsequent displacement at the metaphyseal fracture was noted in one @entity1 who did not receive external skeletal fixation initially. CONCLUSION: The technique of arthroscope-assisted surgery, despite a steep learning curve, is an invaluable method. Results using this technique are promising and few complications are encountered in the treatment of complex radius platform @entity174 . The bone grafting procedure augments osseous union, shortens the duration of external skeletal fixation, and thus lessens joint stiffness.
