Trial reportJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2014
External fixation versus volar locking plate for displaced intra-articular distal radius fractures: a prospective randomized comparative study of the functional outcomes.
Trial report in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Volar locking plate versus external fixation for unstable distal radius fractures: a systematic review and meta-analysis based on randomized controlled trials.BMC musculoskeletal disorders · 2021Pooled it
- Is volar locking plate superior to external fixation for distal radius fractures? A comprehensive meta-analysis.Acta orthopaedica et traumatologica turcica · 2018Pooled it
- Management of Distal Radius Fractures in Frail Elderly Patients With High Anesthetic Risk: Cast Immobilization Versus Volar Locking Plate Fixation.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- A Comparative Prospective Study Between Ligamentotaxis Versus Volar Plating in Displaced Intra-articular Fractures of Distal End Radius in Adults.The archives of bone and joint surgery · 2026Article
- Review
- Article
- Temporary external fixation versus direct ORIF in complete displaced intra-articular radius fractures: a prospective comparative study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Interventions for Distal Radius Fractures: A Meta-analysis of Comparison Studies.Journal of wrist surgery · 2021Article
- The Declining Use of Wrist-Spanning External Fixators.Hand (New York, N.Y.) · 2020Article
- Article
- 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
- Anatomical reduction and precise internal fixation of intra-articular fractures of the distal radius with virtual X-ray and 3D printing.Australasian physical & engineering sciences in medicine · 2019Article
- Long term outcomes of open reduction internal fixationOrthopedic reviews · 2019Article
- A new classification and its value evaluation for intermediate column fractures of the distal radius.Journal of orthopaedic surgery and research · 2018Article
- Use of Volar Locking Plate Versus Intramedullary Nailing for Fixation of Distal Radius Fractures: A Retrospective Analysis of Clinical and Radiographic Outcomes.Medical science monitor : international medical journal of experimental and clinical research · 2018Article
- Image classification for Die-punch fracture of intermediate column of the distal radius.La Radiologia medica · 2017Article
- 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
- Volar Locking Plate versus External Fixation for Distal Radius Fractures: A Meta-analysis of Randomized Controlled Trials.Indian journal of orthopaedicsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of the study was to compare the efficacy of external fixation and volar plating on the functional parameter of displaced intra-articular (Cooney's type IV) distal end radius fractures using the Green and O'Brien scoring system. MATERIALS AND
methodsThis prospective randomized study comprised 68 patients treated with external fixation and 42 patients treated with volar locking plates. The patients were followed up at 6 months and 1 year after surgery. The assessment of pain, range of motion, grip strength and activity were assessed at each follow-up visit and scored according to the Green and O'Brien scoring system.
resultsAt 1 year after surgery, we observed that external fixation showed significantly better results than volar locking plates using the Green and O'Brien scores for range of motion (22.0 ± 4.77 vs 19.89 ± 5.05), grip strength (19.91 ± 5.4 vs 16.89 ± 4.4) and final outcome (87.36 ± 11.62 vs 81.55 ± 11.32). No difference was found in pain and activity between these two groups of patients. Patients aged <50 years treated with external fixation showed excellent results (final score (91.57 ± 9.01) at 1 year follow-up.
conclusionExternal fixation showed superiority over volar locked plating after 1 year of surgery. LEVEL OF EVIDENCE: IV.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.