Percutaneous fixation with Kirschner wires versus volar locking-plate fixation in adults with dorsally displaced fracture of distal radius: five-year follow-up of a randomized controlled trial.

The Bone & Joint Journal
M L CostaNick R Parsons

Abstract

The aim of this study was to compare the clinical effectiveness of Kirschner wire (K-wire) fixation with locking-plate fixation for patients with a dorsally displaced fracture of the distal radius in the five years after injury. We report the five-year follow-up of a multicentre, two-arm, parallel-group randomized controlled trial. A total of 461 adults with a dorsally displaced fracture of the distal radius within 3 cm of the radiocarpal joint that required surgical fixation were recruited from 18 trauma centres in the United Kingdom. Patients were excluded if the surface of the wrist joint was so badly displaced it required open reduction. In all, 448 patients were randomized to receive either K-wire fixation or locking-plate fixation. In the K-wire group, there were 179 female and 38 male patients with a mean age of 59.1 years (19 to 89). In the locking-plate group, there were 194 female and 37 male patients with a mean age of 58.3 years (20 to 89). The primary outcome measure was the patient-rated wrist evaluation (PRWE). Secondary outcomes were health-related quality of life using the EuroQol five-dimension three-level (EQ-5D-3L) assessment, and further surgery related to the index fracture. At 12 months, 402/448 participa...Continue Reading

References

Nov 21, 1997·Medical Care·P Dolan
Dec 5, 1998·Journal of Orthopaedic Trauma·J C MacDermidJ H Roth
Jun 6, 1996·Health Policy·R Brooks
Feb 6, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Caroline E PlantMatthew L Costa
Mar 28, 2018·JAMA : the Journal of the American Medical Association·David J KeeneUNKNOWN Ankle Injury Management (AIM) Trial Collaborators

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Citations

Jul 3, 2020·The Journal of Hand Surgery, European Volume·João Alberto R Maradei-PereiraMarcia R Maradei-Pereira
Aug 31, 2020·The Bone & Joint Journal·Daniel C Perry, Matthew Costa
Sep 15, 2020·Bone & Joint Research·Ahmed A MaganFares S Haddad
Jul 1, 2020·The Bone & Joint Journal·David W G LangerhuizenJob N Doornberg
Sep 22, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ghada AsmarMarc-Olivier Falcone
Sep 24, 2020·Curēus·Cenk ErmutluYusuf Öztürkmen
Sep 23, 2020·JBJS Reviews·Joshua J Meaike, Sanjeev Kakar
Mar 24, 2021·The Orthopedic Clinics of North America·Travis A DoeringJames H Calandruccio
Apr 25, 2021·Hand Clinics·Michael B Gottschalk, Eric R Wagner
Jun 8, 2021·Journal of Pediatric Orthopedics·Danielle Greig, Mauricio Silva
Sep 22, 2021·Plastic and Reconstructive Surgery·Rachel C HooperUNKNOWN Wrist and Radius Injury Surgical Trial Group

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