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Tuesday, 11 April 2017 07:59

ARTICULAR FRACTURES OF DISTAL RADIUS: COMPARISON OF TREATMENT AND CLINICAL AND RADIOLOGICAL OUTCOMES WITH VOLAR PLATE VERSUS HOFFMANN BRIDGING EXTERNAL FIXATOR.

Written by Michele Bisaccia et al.
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The Wrist fractures are one of the most frequent traumatic pathologies. Surgery is now more commonly

recommended for this type of fracture as a means to improve the outcome of patients. The objective of this

study is to compare treatment with volar plate vs. external fixation in these types of fractures. A total of

158 consecutive patients who had been operated on for distal radius fractures with or without ulnar

involvement, were included in this study. 109 were treated with a volar plate and 49 with Hoffmann II

external fixator. The exclusion criteria were patients with a history of wrist fractures, with neurological

diseases, pathological fractures and polytrauma patients. Clinical and radiographic results were evaluated

in both groups of patients. Clinical parameters were: average flexion, average extension, average

pronation and supination, and the average radial and ulnar deviation. The radiographic parameters that we

considered were the radial tilt and ulnar variance. In both groups, we evaluated the clinical results with the

DASH score and the Mayo-Wrist score. The unstable and intra-articular fractures of the distal radius can

be treated with different methods, among which the most commonly used are the open reduction and

internal fixation with plates or the synthesis with external fixation. Our study shows how both methods

provide similar clinical and radiographic results, so the choice of which to use depends more on the

surgeon's experience and the patient's compliance rather than on the type of fracture.

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