Clinical analysis of the external fixator combined with Kirschner wire in the treatment of complex Barton fracture in 21 cases

Objective:To evaluate the clinical effects of the external fixator combined with Kirschner wire in the treatment of complex Barton fracture.Methods:Twenty-one patients with complex Barton fractures were treated with the close reduction or limited-open reduction, and external fixator combined with Kirschner wire.All patients were followed up for 6 to 36 months.Results:The fractures healed after 3 to 8 weeks of operation, and osseous healing was found during 3 to 4 months.According to Gartland-Werley score, the excellent in 15 cases, good in 4 cases and general in 2 cases were identified, the excellent rate was 90.47%.The average DASH questionnaire score was 15 points.Conclusions:The external fixator combined with Kirschner wire can provide a new approach in treating complex Barton fractures.