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Original Research 
RMJ. 2022; 47(3): 635-639


Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse

Haider Omran Al-Failly, Ghdeer Hikmat Majeed, Mohammed Shihab Aledanni, Mustafa Sadeq Al-Mukhtar.

Abstract
Objective: To compare the radiological and functional outcomes of patients of Comminuted intra-articular distal radius fractures treated with or without bone marrow injection along with external fixator ligamentotaxis.
Methodology: This prospective comparative study on 41 patients with comminuted intra-articular lower end radius fractures distributed patients randomly into two groups depending on whether an aspirate of bone marrow was injected at the fracture site two weeks after fracture management with external fixation ligamentotaxis.
Results: The mean age was 35.8 years, with male predominance. The radiological parameters (radial height, radial inclination, and volar tilt) at the 6th month follow up were lower in the group who did not receive a bone marrow aspirate injection but was not significant statistically. Moderate deformities developed in half of the patients who did not receive bone marrow aspiration according to Lidstorm scores modified by Sarmiento et al. The functional outcome was excellent to good in all patients who received marrow aspiration, according to the demerit system of Gartland and Werley.
Conclusion: The injection of bone marrow aspirate to the fracture site might have a potential role in the management of comminuted intra-articular lower end radius fractures treated by external fixation ligamentotaxis.

Key words: Bone marrow injection, ligamentotaxis, distal intra-articular radius fractures.


 
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How to Cite this Article
Pubmed Style

Al-Failly HO, Majeed GH, MSA, Al-Mukhtar MS. Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse. RMJ. 2022; 47(3): 635-639.


Web Style

Al-Failly HO, Majeed GH, MSA, Al-Mukhtar MS. Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse. https://www.rmj.org.pk/?mno=12066 [Access: September 02, 2022].


AMA (American Medical Association) Style

Al-Failly HO, Majeed GH, MSA, Al-Mukhtar MS. Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse. RMJ. 2022; 47(3): 635-639.



Vancouver/ICMJE Style

Al-Failly HO, Majeed GH, MSA, Al-Mukhtar MS. Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse. RMJ. (2022), [cited September 02, 2022]; 47(3): 635-639.



Harvard Style

Al-Failly, H. O., Majeed, . G. H., , . M. S. A. & Al-Mukhtar, . M. S. (2022) Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse. RMJ, 47 (3), 635-639.



Turabian Style

Al-Failly, Haider Omran, Ghdeer Hikmat Majeed, Mohammed Shihab Aledanni, and Mustafa Sadeq Al-Mukhtar. 2022. Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse. Rawal Medical Journal, 47 (3), 635-639.



Chicago Style

Al-Failly, Haider Omran, Ghdeer Hikmat Majeed, Mohammed Shihab Aledanni, and Mustafa Sadeq Al-Mukhtar. "Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse." Rawal Medical Journal 47 (2022), 635-639.



MLA (The Modern Language Association) Style

Al-Failly, Haider Omran, Ghdeer Hikmat Majeed, Mohammed Shihab Aledanni, and Mustafa Sadeq Al-Mukhtar. "Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse." Rawal Medical Journal 47.3 (2022), 635-639. Print.



APA (American Psychological Association) Style

Al-Failly, H. O., Majeed, . G. H., , . M. S. A. & Al-Mukhtar, . M. S. (2022) Comminuted intra-articular distal radius fractures treated by ligamentotaxis external fixation with and without bone marrow injection to prevent late metaphyseal collapse. Rawal Medical Journal, 47 (3), 635-639.








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