Surgical interventions for treating distal radial fractures in adults

Functional Outcomes Following Bridge Plate Fixation for Distal Radius Fractures

“…Two patients developed surgical site pain, which is in keeping with other surgical treatment methods. 3e7, 10 At the time of follow-up, the QuickDASH and PRWE scores indicated low disability and were similar to previous reports. 27 This supports consistent patientreported outcomes for this technique (Table 5).…”

Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius—a prospective randomized trial

“…In fact, widespread analysis of clinical outcomes of distal radius fractures still fails to show improved clinical outcomes from any specific surgical treatment modality. 37 This study shows a similar contradistinction in that the use of the augmented external fixation technique provided for improved articular surface reduction in those fracture types with displaced articular fragments but its use did not provide for improved clinical outcomes up to 1 year after fracture. Two studies have documented progression of radiographic arthritis with long-term follow-up evaluation of steps and gaps 5,32 and therefore it is likely that the patients in this study who had measurable steps or gaps are at higher risk for radiographic arthritis in the long term.…”

Percutaneous Pinning of Distal Radius Fractures: An Anatomic Study Demonstrating the Proximity of K-Wires to Structures at Risk

“…9 Moreover, a recent Cochrane Review documented no important differences between distal radius fractures treated with open reduction and internal fixation or closed reduction and percutaneous pinning. 13 Closed reduction and percutaneous pinning can be used to treat extra-articular and intra-articular fractures, classified as AO/ASIF type A2 and A3 and type C1 and C2. A minimum of 3 K-wires in an orthogonal configuration, with 2 radial styloid K-wires and 1 or 2 from the dorsal rim of the distal radius just distal to Lister's tubercle, can provide reduction and stabilization of the fracture.…”

“…The 5 K-wire entrance sites include a dorsal radial styloid longitudinal wire, volar radial longitudinal wire, transverse radial styloid wire, dorsal rim K-wire, and a longitudinal K-wire at the dorsoulnar margin of the distal radius. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] MATERIALS AND METHODS Fifteen fresh-frozen cadaver upper extremities with an average age of 61 years were dissected after simulation of our technique of percutaneous pinning. There were 6 right and 9 left upper extremities from 8 men and 7 women, with no evidence of disease or trauma.…”