Comparison of External and Percutaneous Pin Fixation with Plate Fixation for Intra-articular Distal Radial Fractures

Leung, Frankie; Tu, Yuan‐Kun; Chew, Winston Y.C.; Chow, Sherman S. M.

doi:10.2106/jbjs.f.01581

Cited by 179 publications

(130 citation statements)

References 18 publications

Supporting

Mentioning

114

Contrasting

Unclassified

Order By: Relevance

“…5 This explains no consistent benefit of one treatment over the other. This result is also obtained in 4 randomized controlled trials done by Grewal et al, Kreder et al, Kapoor et al, and Leung et al 4,[9][10][11] In our study, some patients in group A had fair or poor grip and inability to fully supinate in initial 3 to 5 months. But later they did achieve an excellent score.…”

Section: Discussionsupporting

confidence: 88%

“…6 Hence, a treatment method that is more likely to achieve these goals will result in better function. 4 Bridging external fixation of distal radial fractures has been part of the surgeon's armamentarium far longer than have locked plates. External fixation continues to be employed by many surgeons as a familiar technique requiring minimal exposure.…”

Section: Discussionmentioning

confidence: 99%

“…The two treatment groups were compared with use of standardized clinical and radiographic measures. 4 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison study for internal and external modes of fixation for fractures of distal end radius

Shah

et al. 2017

Int J Res Orthop

View full text Add to dashboard Cite

Background: Fractures of the distal radius continue to be one of the most common skeletal injuries. The methods which are commonly practiced are closed manipulation and plaster cast, pins and plaster, percutaneous pinning, external fixation and open reduction and internal fixation with or without bone graft. Surgeons are increasingly faced with the dilemma of when to consider operative management and when cast immobilization is the optimal treatment.Methods: 47 cases of distal end radius fractures were operated in the orthopedic department of a tertiary care centre. The purpose of the present study was to compare the results of external and internal fixation methods for the treatment of fractures of distal end of radius. Patients operated by external fixation were classified as Group A and those operated by internal fixation were classified as group B. Patients were classified according to AO Classification. Patients were followed at regular intervals depending on the case and time of operation and evaluated by Gartland and Werley score.Results: In our study, 29 patients were of extraarticular type, of which 86.20% had an excellent score and 18 patients were of intraarticular type, of which 83.33% had an excellent score. But when compared to groups A and B, the percentage of excellent score obtained in group B was more than that in group A in both extraarticular and intraarticular fractures. Yuan-kun et al did a study on intraarticular distal end radius fractures and evaluated the patients by Gartland and Werley point system, concluding that plating gives better results than external fixation supplemented by K wiring. Conclusions: We concluded that no method of fixation can be said superior to the other. Each method has fracture-specific indication. The results of open reduction and internal fixation can be better than external fixation in initial months, but in the long run, both the methods can have excellent score, provided the fixation is good and properly indicated.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison study for internal and external modes of fixation for fractures of distal end radius

Shah

et al. 2017

Int J Res Orthop

View full text Add to dashboard Cite

show abstract

“…20 There is extensive work to show that locked volar plates are well tolerated, allow early movement and maintain position even for intraarticular fractures. 21,22 Proposed advantages of locked volar plating include improved pull out strength even in osteoporotic bone. 23 Internal fixation using a dorsal plate, which is greatly advocated, achieves anatomical reduction with good stability.…”

Section: Discussionmentioning

confidence: 99%

Functional and radiological outcome in distal radius fractures treated with locking compression plate

et al. 2017

View full text Add to dashboard Cite

Background: Fractures of distal end of radius are one of the most common skeletal injuries encountered in orthopaedics. There are various modalities for treatment like close reduction and cast application, external fixators, ORIF with plate etc. CR and cast application or K-wire fixation, external fixation is associated with immobilisation, wrist stiffness, loss of reduction postoperatively. So we performed volar plating for distal end radius fractures and calculated its results.Methods: We performed ORIF with plating (Volar approach) in 35 patients (22 male and 13 female) of distal end radius fractures depending on inclusion and exclusion criteria. Fractures were classified according to AO classification. All patients were operated under tourniquet. Results were analysed using Mayo score.Results: Out of 35 patients, 14 had type A, 16 had type B and 5 had type C fractures (AO classification). Average operative time was 45 minutes and blood loss of 50 ml. Average time to clinico-radiological union was 7 weeks. Average follow up time was 8 months. Average time to wrist mobilisation was 8 days. According to Mayo score, 16 patients had excellent results, 15 had well and 4 had satisfactory results.Conclusions: Volar plating for fracture distal end radius reduces chances of wrist joint stiffness and loss of reduction and good results can be obtained. So in our opinion, volar plating for treatment of fracture distal end radius is good method with excellent outcomes.

show abstract

“…The two scoring systems are both easy to use and scientific for assessing different wrist problems after operation and thus increasingly cited recently [4]. No statistical analysis was attempted because of our small sample size, yet a few meaningful recommendations are made possible through long-term follow-up and strict evaluation with the two systems.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years

Liu

Zhou

Yang

et al. 2009

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

To investigate the long-term clinical results of proximal row carpectomy for treating chronic wrist injuries, we collected the postoperative results of ten patients who underwent this procedure between 1978 and 1996. The evaluation was based on Gartland and Werley and modified Green and O'Brien scoring systems. The follow-up ranged from ten to 29 years. Nine patients could perform daily activities properly, two experienced occasional pain and one moderate pain. Eight patients were rated as excellent, two were good, while none was fair or poor by the former scoring system. Seven patients were rated as good, three were fair and none was excellent or poor by the latter scoring system. No apparent degenerative change was found in the radiocapitate joints apart from a slight change in one patient. The operation is a dependable and durable procedure that results in satisfactory pain relief, improved functional wrist motion and grip strength, allowing most patients to resume their previous work.

show abstract

Comparison of External and Percutaneous Pin Fixation with Plate Fixation for Intra-articular Distal Radial Fractures

Abstract: Plate fixation is better than external fixation combined with percutaneous pin fixation for the treatment of intra-articular fractures of the distal part of the radius.

Cited by 179 publications

References 18 publications

Comparison study for internal and external modes of fixation for fractures of distal end radius

Comparison study for internal and external modes of fixation for fractures of distal end radius

Functional and radiological outcome in distal radius fractures treated with locking compression plate

Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years

Contact Info

Product

Resources

About