Wrist function recovers more rapidly after volar locked plating than after external fixation but the outcomes are similar after 1 year.

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  • Author(s): Wilcke MK;Wilcke MK; Abbaszadegan H; Adolphson PY
  • Source:
    Acta orthopaedica [Acta Orthop] 2011 Feb; Vol. 82 (1), pp. 76-81. Date of Electronic Publication: 2011 Feb 01.
  • Publication Type:
    Comparative Study; Journal Article; Randomized Controlled Trial
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Medical Journals Sweden AB Country of Publication: Sweden NLM ID: 101231512 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1745-3682 (Electronic) Linking ISSN: 17453674 NLM ISO Abbreviation: Acta Orthop Subsets: MEDLINE
    • Publication Information:
      Publication: 2022- : Uppsala, Sweden : Medical Journals Sweden AB
      Original Publication: Basingstoke, Hampshire, UK : Taylor & Francis, c2005-
    • Subject Terms:
      External Fixators* ; Fracture Fixation, Internal*; Radius Fractures/*surgery ; Wrist Joint/*physiopathology; Adult ; Aged ; Bone Plates ; Female ; Follow-Up Studies ; Fractures, Comminuted/physiopathology ; Fractures, Comminuted/rehabilitation ; Fractures, Comminuted/surgery ; Hand Strength/physiology ; Humans ; Male ; Middle Aged ; Radius Fractures/physiopathology ; Radius Fractures/rehabilitation ; Recovery of Function ; Surveys and Questionnaires ; Treatment Outcome
    • Abstract:
      Background and Purpose: Promising results have been reported after volar locked plating of unstable dorsally displaced distal radius fractures. We investigated whether volar locked plating results in better patient-perceived, objective functional and radiographic outcomes compared to the less invasive external fixation.
      Patients and Methods: 63 patients under 70 years of age, with an unstable extra-articular or non-comminuted intra-articular dorsally displaced distal radius fracture, were randomized to volar locked plating (n = 33) or bridging external fixation. Patient-perceived outcome was assessed with the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Patient-Rated Wrist Evaluation (PRWE) questionnaire.
      Results: At 3 and 6 months, the volar plate group had better DASH and PRWE scores but at 12 months the scores were similar. Objective function, measured as grip strength and range of movement, was superior in the volar plate group but the differences diminished and were small at 12 months. Axial length and volar tilt were retained slightly better in the volar plate group.
      Interpretation: Volar plate fixation is more advantageous than external fixation, in the early rehabilitation period.
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    • Publication Date:
      Date Created: 20110202 Date Completed: 20110309 Latest Revision: 20220330
    • Publication Date:
      20231215
    • Accession Number:
      PMC3230001
    • Accession Number:
      10.3109/17453674.2011.552781
    • Accession Number:
      21281262