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Case Studies | Orthopaedic Surgery | India | Volume 12 Issue 4, April 2023
Abstract for Thesis on Functional Outcome in Fracture in Lower End Radius in Patients Treated with Joshi External Stabilizing System (JESS FIXATOR)
Lokendra Singh Chauhan | D Ashok Kumar Tiwari | Mohit Tejwani  | Vikram Singh Hada | Rakesh Bheel
Abstract: Introduction: Fractures of the distal end radius are a common upper extremity fracture. Intra - articular distal end radius fractures are recognized as very complex injuries with a variable prognosis. The aim of the study was to assess the functional outcome of patients treated with Joshi's external stabilizing system (JESS) for displaced intra - articular distal end radius fractures. Materials and Methods: A total of 25 patients with distal end radius fracture were treated with JESS from july 2020 to june 2022. The patients were followed up at 2, 6 weeks, 6 months, 1 year after the surgery. The assessment of pain, range of motion, grip strength, and satisfaction were assessed at 6 months, follow - up and scored according to Green and O?brien scoring system modified by Conney. Results: The excellent to good results were found in 84% of cases. We observed that patients with age less than 50 years had greater prognosis as compared with patients with more than 50 years of age. Final outcome was also found better in males as compared with females at 6 months and 1 year postoperatively. Conclusion: JESS is an effective treatment technique for intra - articular distal end radius fractures in our community. On long - term follow - up of the patients treated with JESS for intra - articular distal end radius fractures, the functional and radiological outcomes were good with low complication rate.
Keywords: Joshi's external stabilization system; Green and O'brien scoring system modified by Conney; distal end radius fractures
Edition: Volume 12 Issue 4, April 2023,
Pages: 632 - 636