Prospective randomised study of intra-articular fractures of the distal radius: comparison between external fixation and plate fixation
Annals of the Academy of Medicine, Singapore
;
: 600-606, 2009.
Artigo
em Inglês
| WPRIM
| ID: wpr-290349
ABSTRACT
<p><b>INTRODUCTION</b>Intra-articular fractures of the distal radius represent high energy, complex, unstable injuries and the optimal method of treatment remains controversial.</p><p><b>MATERIALS AND METHODS</b>The aim of the paper is to compare the outcomes of external fixation (EF) with open reduction internal fixation (ORIF) with plates and screw fixation in the treatment of intra-articular fractures of the distal radius. Thirty-five patients were enlisted from December 2003 to September 2005 after a failure of initial conservative treatment. The patients were randomised into EF or ORIF groups. The patients were followed-up at 1 week, 3, 6, 12 and 24 months. Clinical and radiological outcomes were measured. They were scored using the Green and O'Brien or the Gartland and Wertley score.</p><p><b>RESULTS</b>Of the 35 patients, 5 defaulted the 6-month follow-up and were excluded. We found that the clinical and radiological outcomes for the 2 groups were not significantly different. Complication rates were also similar.</p><p><b>CONCLUSION</b>There is no significant difference in the outcome of intra-articular distal radius fractures treated with either EF or ORIF.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fraturas do Rádio
/
Cirurgia Geral
/
Traumatismos do Punho
/
Placas Ósseas
/
Parafusos Ósseos
/
Diagnóstico por Imagem
/
Radiografia
/
Fixadores Externos
/
Amplitude de Movimento Articular
/
Recuperação de Função Fisiológica
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo diagnóstico
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Annals of the Academy of Medicine, Singapore
Ano de publicação:
2009
Tipo de documento:
Artigo
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