J Korean Soc Surg Hand.  2015 Jun;20(2):85-88. 10.12790/jkssh.2015.20.2.85.

External Fixation for Distal Radius Fractures

Affiliations
  • 1Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. bckwon11@gmail.com

Abstract

External fixation with or without ancillary K-wire fixation, once being one of the most popular methods of surgery for unstable distal radius fractures, is now losing its position due to a recent surge in the use of volar locking plates. However, these changes are not firmly grounded on scientific evidence. Recent clinical trials showed that a similar wrist function was achieved when the use of external fixation was compared with that of volar locking plates at 1 year after surgery for the treatment of unstable distal radius fractures, even though the rate of functional recovery was slower in the former. In addition, it is still a question whether additional costs and time paid for volar locking plates can be justified by such a small gain in wrist function. We will review recent studies comparing external fixation with volar locking plates regarding wrist function and costs, and discuss current indication of external fixation for unstable distal radius fractures.

Keyword

Distal radius fracture; External fixation; Volar locking plate; Outcome; Wrist; Cost

MeSH Terms

Radius Fractures*
Wrist

Cited by  1 articles

The Effect of Volar Locking Plate Leveraging on Restoring Volar Tilt of Distal Radius Fractures
Han-Vit Kang, Jin-Hyung Im, Jae-Hoon Choi, Joon-Hyuck Oh, Soo-Hwan Kang, Joo-Yup Lee
Arch Hand Microsurg. 2019;24(1):24-31.    doi: 10.12790/ahm.2019.24.1.24.


Reference

References

1. Nellans KW, Kowalski E, Chung KC. The epidemiology of distal radius fractures. Hand Clin. 2012; 28:113–25.
Article
2. Fanuele J, Koval KJ, Lurie J, Zhou W, Tosteson A, Ring D. Distal radial fracture treatment: what you get may depend on your age and address. J Bone Joint Surg Am. 2009; 91:1313–9.
Article
3. Koval KJ, Harrast JJ, Anglen JO, Weinstein JN. Fractures of the distal part of the radius. The evolution of practice over time. Where's the evidence? J Bone Joint Surg Am. 2008; 90:1855–61.
4. Waljee JF, Zhong L, Shauver MJ, Chung KC. The influence of surgeon age on distal radius fracture treatment in the United States: a population-based study. J Hand Surg Am. 2014; 39:844–51.
Article
5. Orbay J. Volar plate fixation of distal radius fractures. Hand Clin. 2005; 21:347–54.
Article
6. Li-hai Z, Ya-nan W, Zhi M, et al. Volar locking plate versus external fixation for the treatment of unstable distal radial fractures: a meta-analysis of randomized controlled trials. J Surg Res. 2015; 193:324–33.
Article
7. Esposito J, Schemitsch EH, Saccone M, Sternheim A, Kuzyk PR. External fixation versus open reduction with plate fixation for distal radius fractures: a meta-analysis of randomised controlled trials. Injury. 2013; 44:409–16.
Article
8. Walenkamp MM, Bentohami A, Beerekamp MS, et al. Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis. Strategies Trauma Limb Reconstr. 2013; 8:67–75.
9. Shauver MJ, Yin H, Banerjee M, Chung KC. Current and future national costs to medicare for the treatment of distal radius fracture in the elderly. J Hand Surg Am. 2011; 36:1282–7.
Article
10. Dzaja I, MacDermid JC, Roth J, Grewal R. Functional outcomes and cost estimation for extra-articular and simple intra-articular distal radius fractures treated with open reduction and internal fixation versus closed reduction and percutaneous Kirschner wire fixation. Can J Surg. 2013; 56:378–84.
Article
11. Shyamalan G, Theokli C, Pearse Y, Tennent D. Volar locking plates versus Kirschner wires for distal radial fractures: a cost analysis study. Injury. 2009; 40:1279–81.
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