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Similar functional outcomes seen among fixation options for dorsally displaced distal radius fractures
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VANCOUVER, British Columbia — At 1-year follow-up, functional outcomes were not different in adults with dorsally displaced distal radius fractures treated with either open reduction and internal fixation with volar locking plates, non-spanning external fixation or closed reduction and percutaneous fixation, according to results presented here.
“There are no statistically significant differences in complication rates, except for the [complex regional pain syndrome] CRPS in the non-spanning external fixation group,” Gregory K. Berry, MD, said during his presentation at the Orthopaedic Trauma Association Annual Meeting.
Berry and colleagues performed a multicenter trial of 201 patients with dorsally displaced distal radius fractures who were randomized to undergo either open reduction and internal fixation with a volar locking plate (n=72), non-spanning external fixation (n=63) or closed reduction and percutaneous fixation (n=66). At 6 weeks, 3 months, 6 months and 12 months, patients were evaluated for primary outcomes which included patient-rated wrist evaluation, DASH score and short musculoskeletal functional assessment. Secondary outcomes, such as range of motion, grip strength and postoperative complications, were also evaluated.
Significant improvements in functional outcome scores were seen in the three treatment groups at the 1-year follow-up; however, there were no significant differences see in among the groups with regard to primary outcome measures. Investigators noted groups were also similar with regard to secondary outcome measures. – by Monica Jaramillo
Reference:
Bergeron S, et al. Paper #106. Presented at: Orthopaedic Trauma Association Annual Meeting. Oct. 11-14, 2017; Vancouver, British Columbia.
Disclosure: Berry reports no relevant financial disclosures.