Comparison of External Fixation and Supplementary Kirschner-Wires Fixation with Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures

Authors

  • Rajeev Dwivedi Lumbini Medical College Teaching Hospital, Palpa, Nepal https://orcid.org/0000-0001-7734-3931
  • Mandir Khatri Lumbini Medical College Teaching Hospital, Palpa, Nepal
  • Arjun KC Lumbini Medical College Teaching Hospital, Palpa, Nepal

Keywords:

External fixation, Functional outcomers, Green and O'Brien score, Intra-articular distal radius fracture, Volar locking plate

Abstract

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.

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Author Biographies

Rajeev Dwivedi, Lumbini Medical College Teaching Hospital, Palpa, Nepal

Associate Professor, Department of Orthopedics

Mandir Khatri, Lumbini Medical College Teaching Hospital, Palpa, Nepal

Lecturer, Department of Orthopedics

Arjun KC, Lumbini Medical College Teaching Hospital, Palpa, Nepal

Resident, Department of Orthopedics

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Published

2020-10-21

How to Cite

Dwivedi, R., Khatri, M., & KC, A. (2020). 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, 8(2), 212–217. Retrieved from https://nepjol.info/index.php/JLMC/article/view/40822

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Section

Original Research Articles