Comparison of Locked Volar Plating Versus Pinning and External Fixation in the Treatment of Unstable Intraarticular Distal Radius Fractures
Open Access
- 17 October 2007
- journal article
- Published by SAGE Publications in HAND
- Vol. 3 (2), 111-117
- https://doi.org/10.1007/s11552-007-9080-0
Abstract
Introduction We retrospectively compared the outcomes of open reduction and internal fixation (ORIF) with volar locking plate versus standard external fixation and percutaneous pinning in treating similar unstable distal radius fractures with a minimum 2-year follow-up. Methods The ORIF group included 41 patients with an average follow-up of 29 months. The external fixation group comprised 14 patients with an average follow-up of 33 months. Average age at presentation was 45 years in the external fixation group and 48 years in the ORIF group. The male/female ratios were 16:25 among the ORIF group and 6:8 in the external fixation group. The two groups were compared for clinical and functional outcomes measured by the disabilities of the arm, shoulder, and hand (DASH) score. Pain scores were similar. Radiographic measurements were also evaluated between groups. Results Final ranges of motion and grip strengths were similar between the two groups. The mean DASH score of the locked volar plate group was 9 compared to 23 for the external fixation group. Radiographically, volar tilt and radial length were significantly better in the patients treated with ORIF. The ORIF group required less therapy visits. No complications occurred in the locked volar plate group whereas two patients had pin tract infections and one had prolonged finger stiffness in the external fixation group. Conclusion Locked volar plating compares favorably to external fixation and pinning for amenable fracture patterns. Whereas grip and range-of-motion data were similar, DASH scores, frequency of rehabilitation, and some radiographic parameters were superior in patients treated with ORIF.Keywords
This publication has 42 references indexed in Scilit:
- Treatment of Distal Radius Fractures With a Low-Profile Dorsal Plating System: An Outcomes AssessmentThe Journal of Hand Surgery, 2006
- Volar Versus Dorsal Plating in the Management of Intra-Articular Distal Radius FracturesThe Journal of Hand Surgery, 2006
- A Randomized Prospective Study on the Treatment of Intra-Articular Distal Radius Fractures: Open Reduction and Internal Fixation With Dorsal Plating Versus Mini Open Reduction, Percutaneous Fixation, and External FixationThe Journal of Hand Surgery, 2005
- Volar Fixation of Dorsally Displaced Distal Radius Fractures Using the 2.4-mm Locking Compression PlatesThe Journal of Hand Surgery, 2005
- Functional outcome of unstable distal radius fractures: ORIF with a volar fixed-angle tine plate versus external fixationThe Journal of Hand Surgery, 2005
- Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius—a prospective randomized trialThe Journal of Hand Surgery, 2004
- Die winkelstabile palmare Plattenosteosynthese bei der dorsal dislozierten distalen Radiusfraktur - Anwendung und erste klinische ErfahrungenZentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie, 2003
- Pins and Plaster vs External Fixation in the Treatment of Unstable Distal Radial FracturesJournal of Hand Surgery (European Volume), 1995
- Stability assessment of distal radius fracturesInjury, 1989
- Use of the Clyburn External Fixator in Fractures of the Distal RadiusThe Journal of Trauma and Acute Care Surgery, 1989