Displaced intra-articular fractures of distal radius: a comparative evaluation of results following closed reduction, external fixation and open reduction with internal fixation

Kapoor, Harish; Agarwal, Ashoo; Dhaon, BK

doi:10.1016/s0020-1383(99)00207-7

Cited by 221 publications

(186 citation statements)

References 8 publications

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“…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%

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

Shah

et al. 2017

Int J Res Orthop

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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.

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Section: Discussionsupporting

confidence: 88%

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

Shah

et al. 2017

Int J Res Orthop

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“…1 They occur most frequently in adult patients after the fourth decade of life and comprise around 10 to 20% of all fractures attended as emergencies. This group also has the highest rate of complications and hand dysfunctions, which affect the capacity to work.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2017

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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.

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“…This compares well to a study by Harish Kapoor et al who reported similar incidence of age. 10 The best outcome or results were seen among the younger individuals. The excellent and good outcomes in the conservative group were seen only in stable, minimally communited and minimally displaced fracture patterns.…”

Section: Resultsmentioning

confidence: 98%

An analysis of functional outcome following conservative versus surgical management in fractures of the distal radius

2017

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Background: Distal radial fractures are one of the most common injuries seen in the orthopaedic department, which can be managed both conservatively and surgically. There are advantages and disadvantages in each method of management. The aim of this study was to compare the functional and radiological outcomes of intra-articular fractures of the distal end of the radius with conservative and surgical management.Methods: 80 cases of intra articular fractures of the distal radius managed by both conservative and surgical means were studied between January 2011 to January 2013 and were followed up for a minimum period of two years.Results: In our series of 80 patients, there 53 males and 27 females. Most of the patients were between 20-30 years of age with the mean age being 40.35 years. RTA was the most common mode of injury (45%). Frykman’s type 3 (41.7%) was the most common fracture type seen followed by type 8. All fractures united by the end of 6 months. Excellent results were seen in 47.5% of cases in the surgical group and 30% of cases in the conservative group. Conclusions: From this study, we conclude that surgical management is better than conservative in the treatment of intra articular fractures of the distal end of radius. Therefore, one treatment method of treatment cannot be generalized for all types of fractures and treatment should be individualized to a particular fracture in terms of age, fracture pattern, degree of displacement and amount of communition present.

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Displaced intra-articular fractures of distal radius: a comparative evaluation of results following closed reduction, external fixation and open reduction with internal fixation

Cited by 221 publications

References 8 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

An analysis of functional outcome following conservative versus surgical management in fractures of the distal radius

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