INTRODUCTION:Intra-articular fractures of the distal radius represent high energy, complex, unstable injuries and the optimal method of treatment remains controversial. MATERIALS AND METHODS: The aim of the paper is to compare the outcomes of external fixation (EF) with open reduction internal fixation (ORIF) with plates and screw fixation in the treatment of intra-articular fractures of the distal radius. Thirty-five patients were enlisted from December 2003 to September 2005 after a failure of initial conservative treatment. The patients were randomised into EF or ORIF groups. The patients were followed-up at 1 week, 3, 6, 12 and 24 months. Clinical and radiological outcomes were measured. They were scored using the Green and O'Brien or the Gartland and Wertley score. RESULTS: Of the 35 patients, 5 defaulted the 6-month follow-up and were excluded. We found that the clinical and radiological outcomes for the 2 groups were not significantly different. Complication rates were also similar. CONCLUSION: There is no significant difference in the outcome of intra-articular distal radius fractures treated with either EF or ORIF.
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INTRODUCTION:Intra-articular fractures of the distal radius represent high energy, complex, unstable injuries and the optimal method of treatment remains controversial. MATERIALS AND METHODS: The aim of the paper is to compare the outcomes of external fixation (EF) with open reduction internal fixation (ORIF) with plates and screw fixation in the treatment of intra-articular fractures of the distal radius. Thirty-five patients were enlisted from December 2003 to September 2005 after a failure of initial conservative treatment. The patients were randomised into EF or ORIF groups. The patients were followed-up at 1 week, 3, 6, 12 and 24 months. Clinical and radiological outcomes were measured. They were scored using the Green and O'Brien or the Gartland and Wertley score. RESULTS: Of the 35 patients, 5 defaulted the 6-month follow-up and were excluded. We found that the clinical and radiological outcomes for the 2 groups were not significantly different. Complication rates were also similar. CONCLUSION: There is no significant difference in the outcome of intra-articular distal radius fractures treated with either EF or ORIF.
Authors: Marcus Landgren; Daniel Jerrhag; Magnus Tägil; Philippe Kopylov; Mats Geijer; Antonio Abramo Journal: Acta Orthop Date: 2011-09-06 Impact factor: 3.717
Authors: Daniel Gonçalves Machado; Sergio Auto da Cruz Cerqueira; Rodrigo Ribeiro Pinho Rodarte; Carlos Alberto de Souza Araújo Netto; Marcelo Bezerra de Mathias Journal: Rev Bras Ortop Date: 2015-12-06