A comparative study protocol of external fixation versus volar plate in treating distal radius fracture

Abstract

Background: The superiority of the open reduction and internal fixation (ORIF) and external fixation remains uncertain owing to the limited sample size involved in the literature. This retrospective cohort research was implemented for the comparison of the efficiency of ORIF and external fixation utilizing the locked volar plating in treating the intra-articular fractures of distal radius. We hypothesized that compared with the external fixation, ORIF can improve the functional scores and reduce complications. Methods: We conducted a retrospective and single-center cohort trial that was approved by institutional review committee of Gansu Provincial Hospital. From June 2016 to July 2018, in our experiment, 178 patients with intra-articular fractures of the distal radius were recruited. Inclusion criteria in this cohort study were designed as follows: the age of patients is between 18 and 65 years, the patients with American Society of Anesthesiologists level I–III, and with the AO-type C3 or C2 fractures of distal radius confirmed by computed tomography scans, the patients with radiographic clinical follow-up for 1 year or >1 year. The patients participating in the trial would be divided into 2 groups: the patients treated via the external fixation and the patients treated by the ORIF utilizing volar plate. The main functional results were the grip strength and the range of motion of wrist. Radiographic measurement and complications were also evaluated in our study. Results: This study protocol will guide and clarify our assignments, and the final outcomes and conclusion will further enrich the clinical knowledge in the literature. Trial registration: This study protocol was registered in Research Registry (researchregistry6116).

Surgical options for distal radius fractures of type C in elderly patients over 65 years old: a comparison of external fixation with Kirschner wires and volar locking plate

“…Dağtaş et al [ 10 ] compared the efficacy of EF and ORIF in the treatment of bilateral DRF and found that the wrist joint function in the EF group was better than that in the ORIF group during the first 2 months of treatment, making it a good choice for surgical treatment of bilateral DRF. Zhang et al [ 15 ] compared the efficacy of EF and ORIF in the treatment of DRF through a retrospective cohort study, and the results showed that external fixation can provide faster functional recovery and better functional outcomes than ORIF within 2 years.…”

“…However, there is still no consensus on the optimal surgical treatment for DRF [ 11 , 12 ]. Although some related literature has compared the treatment of DRF with EF and VLP in the past, the conclusions drawn are not clear and even contradictory [ 10 , 13 – 15 ]. This study aims to compare two surgical methods in elderly patients aged 65 and above with type C distal radius fractures through retrospective analysis of perioperative data, imaging data, and final wrist joint function, in order to guide clinical decision-making when selecting surgical treatment for this patient population.…”

Surgical options for distal radius fractures in elderly patients over 65 years old: A comparison of external fixation and volar locking plate

“…However, there is still no consensus on the optimal surgical treatment for DRF [11]. Although some related literature has compared the treatment of DRF with EF and VLP in the past, the conclusions drawn are not clear and even contradictory [10,[12][13][14]. This study aims to compare two surgical methods in elderly patients aged 65 and above with type C distal radius fractures through retrospective analysis of perioperative data, imaging data, and nal wrist joint function, in order to guide clinical decision-making when selecting surgical treatment for this patient population.…”

Efficacy of electroacupuncture in assisting postoperative healing of distal radius fractures: study protocol for a randomized controlled trial

“…DRFs are mainly characterized by local pain, swelling, deformity, and sometimes subcutaneous congestion [ 2 ]. In 2014, there were about 580,000 cases of DRFs in China [ 3 ]. With the further aging of the population, the disease incidence in China is increasing year by year [ 4 ].…”