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Bridging external fixation and supplementary Kirschner-wire fixation versus volar locked plating for unstable fractures of the distal radius: A RANDOMISED, PROSPECTIVE TRIAL
- Article from:
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Journal of Bone and Joint Surgery
- Article date:
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September 1, 2008
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Copyright informationCopyright British Editorial Society of Bone & Joint Surgery Sep 2008. Provided by ProQuest LLC. (Hide copyright information)
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We performed a prospective, randomised trial to evaluate the outcome after surgery of displaced, unstable fractures of the distal radius. A total of 280 consecutive patients were enrolled in a prospective database and 88 identified who met the inclusion criteria for surgery. They were randomised to receive either bridging external fixation with supplementary Kirschner-wire fixation or velar-locked plating with screws. Both groups were similar in terms of age, gender, hand dominance, fracture pattern, socio-economic status and medical co-morbidities.
Although the patients treated by volar plating had a statistically significant early improvement in the range of movement of the wrist, this ...