Open Reduction and Internal Fixation Compared to Closed Reduction and External Fixation in Distal Radial Fractures Arandomized Study of 40 Patients

Gafar Sadik, Diaa; Abdali, Zaid

	Open Reduction and Internal Fixation Compared to Closed Reduction and External Fixation in Distal Radial Fractures Arandomized Study of 40 Patients
Kerbala Journal of Medicine
Article 1, Volume 7, Issue 1, 2014, Pages 1842-1849 PDF (0 K)
Authors
Diaa Gafar Sadik; Zaid Abdali
Abstract
Objective: to investigate if open reduction and internal fixation would produce better outcome than external fixation of distal radial fractures. Patients and Methods: 40 patients with unstable or comminuted distal radial fracture where divided randomly into two groups using 2 methods of treatment, in group one closed reduction &bridging external fixation was used ,in group tow open reduction &internal fixation was used. The primary outcome parameter was grip strength, but the patients were followed for 1 year with objective clinical assessment, subjective outcome and radiographic examination. Results & Discussion: At one year postoperatively , grip strength was 89%(standard deviation 15) of the injured side in the internal fixation group and 75%(15) in the external fixation group. Pronation /supnation was 150 (15)in the internal fixation group &136 in(20) in the external fixation group at 1year.4 patients in the external fixation group where reoperated due to malunion as compared to 2 in internal fixation group.6 others are classified as radiographic malunion, 5 in the external fixation ,1 in the internal fixation group. Conclusion: internal fixation gave better grip strength &and better range of motion at one year, and less malunion than external fixation. No difference could be found regarding subjective outcome.
Keywords
distal radial fracture; Internal fixation; external fixation

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