Volar Locking Plates Versus Augmented External Fixation of Intra-Articular Distal Radial Fractures: Functional Results from a Randomized Controlled Trial

The Journal of Bone and Joint Surgery. American Volume
Ola-Lars HammerPer-Henrik Randsborg

Abstract

The aim of the study was to compare the functional outcomes following fixation with a volar locking plate (VLP) with those outcomes after augmented external fixation (EF) of displaced, intra-articular distal radial fractures in patients 18 to 70 years of age. Following inclusion, randomization, and surgery, clinical examination and outcome assessments were conducted at 6 weeks, 12 weeks, 6 months, 1 year, and 2 years. The primary outcome was the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score, and secondary outcomes included wrist range of motion, grip strength, and pain assessed with a visual analog scale (VAS). Over a span of 3 years, 166 patients were included in the study. The mean age was 55.0 years (standard deviation [SD] = 11.5 years), with the ages distributed evenly in each treatment group by block randomization (84 patients in the VLP group and 82 in the EF group). The patients in the VLP group had a significantly better mean QuickDASH score, range of motion, and grip strength at 6 weeks, 12 weeks, 6 months, and 1 year. There were no significant differences between the groups at 2 years. On the basis of the minimal clinically important difference, the difference in the QuickDASH score was clinicall...Continue Reading

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Citations

Dec 24, 2019·The Journal of International Medical Research·Pengfei ChengYimin Chai
Sep 23, 2020·JBJS Reviews·Joshua J Meaike, Sanjeev Kakar
Nov 28, 2020·Operative Orthopädie und Traumatologie·Frank J P BeeresReto Babst
Sep 19, 2020·The Journal of Bone and Joint Surgery. American Volume·Ola-Lars HammerPer-Henrik Randsborg
Dec 29, 2020·The Journal of Bone and Joint Surgery. American Volume·Trine LudvigsenJonas Meling Fevang
May 17, 2019·Journal of Functional Morphology and Kinesiology·Gianluca TestaVito Pavone
Apr 27, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Frank J P BeeresRémy Liechti
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Jul 27, 2021·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Abdullah A GhaddafMohammed S Alshehri

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