ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014
Retrospective comparison of external fixation versus volar locking plate in the treatment of unstable intra-articular distal radius fractures.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Is volar locking plate superior to external fixation for distal radius fractures? A comprehensive meta-analysis.Acta orthopaedica et traumatologica turcica · 2018Pooled it
- Locking plate versus external fixation for type C distal radius fractures: A meta-analysis of randomized controlled trials.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2018Pooled it
- External fixation versus volar locking plate for displaced intra-articular distal radius fractures: a prospective randomized comparative study of the functional outcomes.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2014Trial
- Are external fixators as effective as volar plates in multi-fragmented radius distal intra-articular fractures (AO type C)?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- A Cost-Effectiveness Analysis of the Various Treatment Options for Distal Radius Fractures.Journal of hand surgery global online · 2023Article
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- Biomechanics of external fixator of distal radius fracture, a new approach: Mutifix Wrist.Musculoskeletal surgery · 2022Article
- Interventions for Distal Radius Fractures: A Meta-analysis of Comparison Studies.Journal of wrist surgery · 2021Article
- The rate and associated risk factors for acute carpal tunnel syndrome complicating a fracture of the distal radius.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- The external fixation can be a good alternative to plate-screw treatment in the surgical treatment of bilateral distal radius fractures: A retrospective cohort study.Joint diseases and related surgery · 2021Article
- Dorsal Bridge Plating versus External Fixation for Distal Radius Fractures.Journal of wrist surgery · 2020Article
- Surgical outcomes of elderly patients aged more than 80 years with distal radius fracture: comparison of external fixation and locking plate.BMC musculoskeletal disorders · 2020Article
- Comparison of radiographic and functional results of die-punch fracture of distal radius between volar locking plating (VLP) and external fixation (EF).Journal of orthopaedic surgery and research · 2019Article
- Comparison of 2-year clinical and radiological outcomes between volar plating and external fixation with additional K-wires for AO Type C distal radius fractures.Turkish journal of medical sciences · 2019Article
- Volar locking plate versus external fixation with optional additional K-wire for treatment of AO type C2/C3 fractures: a retrospective comparative study.Journal of orthopaedic surgery and research · 2019Article
- Complications of Volar Plating of Distal Radius Fractures: A Systematic Review.Journal of wrist surgery · 2019Article
- Strain as a Function of Time in Extrinsic Wrist Ligaments Tensioned Through External Fixation.Hand (New York, N.Y.) · 2018Article
- Comparison of outcome of VLCP versus PKEF in the treatment of AO type C2-3 distal radial fractures.Annals of medicine and surgery (2012) · 2017Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study is to compare the radiological and functional outcomes of open reduction and volar locking plates versus external fixation (EF) in the treatment of unstable intra-articular distal radius fractures. In this retrospective comparative study, 69 of 80 patients who underwent an operation for AO/ASIF C1, C2 and C3 distal radius fractures were assessed. Functional evaluation was performed using the Gartland-Werley scoring system and the PRWE scale, and wrist range of motion and grip strength was also measured. For the radiological assessment, radial inclination, volar tilt, radial length, ulnar variance, and articular step-off were compared. The range of movement was better for all parameters in the volar plate group, but only wrist flexion and pronation range differed significantly between the groups (p = 0.037 and p = 0.014, respectively). With the exception of better subjective functional results in the volar plate group, the differences were not significant. With respect to radiological evaluation, all parameters were better in the volar plate group, but only radial inclination and articular step-off were significantly better (p = 0.018 and p = 0.029, respectively). In the volar plate group, two patients had carpal tunnel syndrome and one patient had regional pain syndrome. In the external fixator group, six patients had superficial pin tract infection, two patients had sensory branch injury, and four patients had regional pain syndrome. Volar locking plate fixation appeared as a dependable method for the treatment of intra-articular distal radius, with lower complication rates. On the other hand, EF remains a suitable surgical alternative for these fractures, with easy application and acceptable results.
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