scholarly journals Clinical Results of External Fixation for Distal Radius Fractures.

1999 ◽  
Vol 48 (3) ◽  
pp. 966-969
Author(s):  
Ryuya Ochi ◽  
Tetsuo Nakano ◽  
Yasuyuki Abe ◽  
Yasuhiro Shimizu ◽  
Ichiro Seike ◽  
...  
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Radius Fractures

145 Outcomes of Unstable Distal Radius Fractures – A Meta-Analysis of Bridging External Fixation Versus Volar Plating

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Mulrain ◽  
K Joshi ◽  
F Doyle ◽  
A Abdulkarim
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Plate Fixation ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Complication Rates ◽  
Volar Plating ◽  
Radius Fractures ◽  
Increased Risk

Abstract Introduction Distal radius fractures are common and trends for fixation have changed with increased use of volar locking plates in recent time. A meta-analysis will summarise the best evidence for treatment. Method A systematic review was conducted using PRISMA methodology to identify studies that reported clinical and/or radiological outcomes in patients with AO type C distal radius fractures when treated with external fixation versus ORIF. Results 10 randomised trials were included in this review, reporting on 967 patients. Clinical outcomes are in favour of volar plating at 3 months post-operation, but no difference between the two groups is seen at 6 or 12 months. Analysis of complication rates shows a minute increase in risk-ratio for volar plating versus external fixation. Subgroup analysis showed significantly higher re-operations after plate fixation and significantly higher infection after external fixation. Conclusions Internal fixation of complex distal radius fractures confers an improved clinical outcome at early follow up only and a minimally increased risk of complications. The improved grip strength with volar plating is only superior at early follow up and no long-term superiority is seen with either intervention. The type of surgery in this injury type therefore remains at the surgeon’s consideration on a case-by-case basis.

scholarly journals Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

2013 ◽  
Vol 8 (2) ◽  
pp. 67-75 ◽  
Author(s):  
J. C. Goslings ◽  
Monique M. J. Walenkamp ◽  
Abdelali Bentohami ◽  
M. Suzan H. Beerekamp ◽  
Rolf W. Peters ◽  
...  
Keyword(s):  
Functional Outcome ◽  
External Fixation ◽  
Distal Radius ◽  
Locking Plate ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Plate Versus ◽  
Volar Locking Plate ◽  
Radius Fractures

Biomechanical Analysis of Pin Placement and Pin Size for External Fixation of Distal Radius Fractures

1990 ◽  
Vol &NA; (251) ◽  
pp. 207???212
Author(s):  
WILLIAM H. SEITZ ◽  
AVRUM I. FROIMSON ◽  
DENNIS B. BROOKS ◽  
PAUL D. POSTAK ◽  
RICHARD D. PARKER ◽  
...  
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Biomechanical Analysis ◽  
Radius Fractures

CLINICAL APPLICATION OF DOUBLE DORSAL PLATES FOR THE DISTAL RADIUS FRACTURES

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 213-224
Author(s):  
Noriyuki Yoshida ◽  
Kazuhiko Matsushita ◽  
Takeshi Arai ◽  
Ko Izumiyama ◽  
Moroe Beppu ◽  
...  
Keyword(s):  
Cortical Bone ◽  
Clinical Application ◽  
Distal Radius ◽  
Three Dimensional ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Radial Margin ◽  
Dimensional Models ◽  
Three Dimensional Models

The purpose of this study was to develop plates that fit the contour of the distal radius of the Japanese and can be inserted less invasively. Three-dimensional models of 36 radii of 18 volunteers were prepared. Using these models, the shape of the cortical bone on the radial margin of the distal radius and just below the dorsal fourth compartment of the wrist, to which the plates were expected to be applied, was measured, and the curves of the plates were determined. The functions of approximated curves of the plates were: [ y = -2 × 10-8 x 5 - 2 × 10-6 x 4 + 0.0006 x 3 - 0.0312 x 2 + 0.3274 x + 15.224 on the radial margin of the distal radius and [ y = 7 × 10-7 x 5 - 0.0001 x 4 + 0.0078 x 3 - 0.2355 x 2 + 3.1815 x - 5.6383 just below the fourth compartment. The clinical results of the application of double dorsal plates were satisfactory in clinical cases for the distal radius fractures.

OUTCOME OF UNSTABLE DISTAL RADIUS FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION VERSUS EXTERNAL FIXATION

Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 173-179 ◽  
Author(s):  
Emmanuel P. Estrella ◽  
Paulo L. Panti
Keyword(s):  
Grip Strength ◽  
Distal Radius ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Wrist Flexion ◽  
Radius Fractures ◽  
Wrist Extension ◽  
Ulnar Deviation ◽  
Mayo Wrist Score ◽  
Score Range

The objective of this study was to compare the clinical results of unstable distal radius fractures treated with ORIF with plate and screws compared to EF. Patients with unstable distal radius fractures treated with ORIF or EF from January 2005 to December 2010 were reviewed in terms of the Modified Mayo Wrist Score, range of motion, pain, grip strength, and radiologic parameters. Results showed that there was no difference in the Modified Mayo Wrist Score between ORIF (17 patients) and EF (11 patients) (p = 0.07). The ORIF group had better wrist flexion, wrist extension, pronation and supination compared to the EF group (p < 0.05). There were no significant differences in terms of radial and ulnar deviation, grip strength, pain and postoperative radiologic parameters (p < 0.05). Better wrist flexion, wrist extension and forearm rotation can be expected in ORIF compared to EF in the management of unstable distal radius fractures.

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