Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator

Mehmet Ali Talmaç

doi:10.5606/ehc.2019.66955

October 24, 2019Joint Diseases and Related SurgeryOpen Access

Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator

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Key Points

To compare the clinical and radiological outcomes of volar locking plates, non-bridging external fixators, and bridging external fixators in treating intraarticular comminuted distal radius fractures.
Retrospectively analyzed 95 patients (44 males, 51 females; median age 49 years [IQR, 37 to 60]) treated between January 2010 and April 2014.
Patients underwent fixation with a volar locking plate (VLP, n=34), non-bridging external fixator (NbEF, n=30), or bridging external fixator (BEF, n=31).
Evaluated clinical parameters (wrist range of motion, grip strength, QuickDASH, Mayo Modified Wrist, Green O'Brien, VAS) and radiological outcomes over a median follow-up of 5 years (IQR, 4 to 6).
Patients in the VLP and NbEF groups demonstrated superior wrist range of motion, lower grip strength loss, and better Green O'Brien, Mayo Modified Wrist, QuickDASH, and VAS scores compared to the BEF group.
The VLP group achieved the greatest radiological improvement among all three surgical interventions.
BEF demonstrated the least favorable outcomes across clinical and radiological measures.

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Implication

Retrospective study reveals superior clinical and radiological outcomes with volar locking plates in comminuted distal radius fractures, suggesting internal plating outperforms external fixation.

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Mehmet Ali Talmaç (2019) studied this question.

synapsesocial.com/papers/6a996c9dbed7bbff3f75b4ec https://doi.org/10.5606/ehc.2019.66955

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Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Comparison of three surgical methods in the treatment of intraarticular comminuted distal radius fractures: Volar locking plate, non-bridging external fixator, and bridging external fixator

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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