Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures
Introduction: There are controversies regarding the benefit of open reduction and internal fixation with volar locking plates over closed reduction and external fixation along with supplementary Kirschner wires fixation for intra-articular distal end radius fracture. Therefore, this study aimed to c...
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| Format: | Article |
| Language: | English |
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Lumbini Medical College
2020-10-01
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| Series: | Journal of Lumbini Medical College |
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| Online Access: | https://jlmc.edu.np/index.php/JLMC/article/view/397 |
| _version_ | 1811281453731807232 |
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| author | Rajeev Dwivedi Mandir Khatri Arjun KC |
| author_facet | Rajeev Dwivedi Mandir Khatri Arjun KC |
| author_sort | Rajeev Dwivedi |
| collection | DOAJ |
| description | Introduction: There are controversies regarding the benefit of open reduction and internal fixation with volar locking plates over closed reduction and external fixation along with supplementary Kirschner wires fixation for intra-articular distal end radius fracture. Therefore, this study aimed to compare the outcomes between external fixation along with supplementary Kirschner wires with volar locking plate in the treatment of intra-articular distal end radius fractures. Methods: This prospective, observational and analytical study was conducted over one and a half years. Forty-seven adults with displaced intra-articular distal end radius fracture were included in the study. Twenty-one cases were treated with closed reduction and external fixation along with supplementary Kirschner wires, whereas 26 patients were treated with open reduction and volar locking plate fixation. Results: At the end of three months, as per the Green and O’Brien scoring, the mean functional outcome score in the volar plate group was significantly better 80.77(±11.46) than the external fixation group 70.24(±10.66) (p=0.002). However, at the end of six months, the mean score in the volar plate group 86.15(±7.39) was not significantly different from the external fixation group 81.43(±9.63) (p= 0.63). Fracture reduction was achieved and maintained better in the volar locking plate group. Conclusion: Functional outcome of closed reduction and external fixation along with supplementary Kirschner wires is comparable with open reduction and internal fixation by volar locking plate in treatment of displaced intra-articular distal radius fractures. Radiological correction is achieved and maintained better with volar locking plates. |
| first_indexed | 2024-04-13T01:33:55Z |
| format | Article |
| id | doaj.art-1f8fc53a410e4477b7728de9f0c3adbf |
| institution | Directory Open Access Journal |
| issn | 2392-4632 2542-2618 |
| language | English |
| last_indexed | 2024-04-13T01:33:55Z |
| publishDate | 2020-10-01 |
| publisher | Lumbini Medical College |
| record_format | Article |
| series | Journal of Lumbini Medical College |
| spelling | doaj.art-1f8fc53a410e4477b7728de9f0c3adbf2022-12-22T03:08:26ZengLumbini Medical CollegeJournal of Lumbini Medical College2392-46322542-26182020-10-018210.22502/jlmc.v8i2.397Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius FracturesRajeev Dwivedi0Mandir Khatri1Arjun KC2Lumbini Medical College and Teaching HospitalLumbini Medical College and Teaching HospitalLumbini Medical College and Teaching HospitalIntroduction: There are controversies regarding the benefit of open reduction and internal fixation with volar locking plates over closed reduction and external fixation along with supplementary Kirschner wires fixation for intra-articular distal end radius fracture. Therefore, this study aimed to compare the outcomes between external fixation along with supplementary Kirschner wires with volar locking plate in the treatment of intra-articular distal end radius fractures. Methods: This prospective, observational and analytical study was conducted over one and a half years. Forty-seven adults with displaced intra-articular distal end radius fracture were included in the study. Twenty-one cases were treated with closed reduction and external fixation along with supplementary Kirschner wires, whereas 26 patients were treated with open reduction and volar locking plate fixation. Results: At the end of three months, as per the Green and O’Brien scoring, the mean functional outcome score in the volar plate group was significantly better 80.77(±11.46) than the external fixation group 70.24(±10.66) (p=0.002). However, at the end of six months, the mean score in the volar plate group 86.15(±7.39) was not significantly different from the external fixation group 81.43(±9.63) (p= 0.63). Fracture reduction was achieved and maintained better in the volar locking plate group. Conclusion: Functional outcome of closed reduction and external fixation along with supplementary Kirschner wires is comparable with open reduction and internal fixation by volar locking plate in treatment of displaced intra-articular distal radius fractures. Radiological correction is achieved and maintained better with volar locking plates.https://jlmc.edu.np/index.php/JLMC/article/view/397External fixationFunctional outcomesGreen and O’Brien scoreIntra-articular distal radius fractureVolar locking plate |
| spellingShingle | Rajeev Dwivedi Mandir Khatri Arjun KC Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures Journal of Lumbini Medical College External fixation Functional outcomes Green and O’Brien score Intra-articular distal radius fracture Volar locking plate |
| title | Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures |
| title_full | Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures |
| title_fullStr | Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures |
| title_full_unstemmed | Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures |
| title_short | Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures |
| title_sort | comparison of external fixation and supplementary kirschner wires fixation with volar locking plate for the treatment of intra articular distal end radius fractures |
| topic | External fixation Functional outcomes Green and O’Brien score Intra-articular distal radius fracture Volar locking plate |
| url | https://jlmc.edu.np/index.php/JLMC/article/view/397 |
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