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Article: Comparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial fractures: A randomized study

TitleComparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial fractures: A randomized study
Authors
Issue Date2008
PublisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://www.jbjs.org
Citation
Journal Of Bone And Joint Surgery - Series A, 2008, v. 90 n. 1, p. 16-22 How to Cite?
AbstractBackground: The most effective method for the fixation of an intra-articular distal radial fracture has not been established. Two commonly used treatment methods are external fixation combined with percutaneous pin fixation and plate fixation. We performed a prospective multicenter randomized trial to compare these two treatment strategies. Methods: A total of 137 patients with 144 intra-articular distal radial fractures were recruited into the study. The average age of the patients was forty-two years, and all patients were sixty years old or less. The patients were randomized to fracture fixation with one of the two methods. At six, twelve, and twenty-four months postoperatively, the patients were assessed with use of the Gartland and Werley point system and the modified Green and O'Brien scoring system. Arthritis was graded on radiographs according to a modification of the Knirk and Jupiter criteria. Results: Seventy-four (51%) of the fractures were treated with external fixation and percutaneous pin fixation, and seventy were treated with dorsal, volar, or combined plate fixation. At the time of the twenty-four-month follow-up, the results for the plate fixation group were significantly better than those for the external fixation and percutaneous pin fixation group according to the Gartland and Werley point system (p = 0.04) and the radiographic arthritis grading system (p = 0.01). The difference was especially notable among patients with AO group-C2 fractures. Conclusions: Plate fixation is better than external fixation combined with percutaneous pin fixation for the treatment of intra-articular fractures of the distal part of the radius. Level of Evidence: Therapeutic Level I. See Instructions to Authors for a complete description of levels of evidence. Copyright © 2008 by The Journal of Bone and Joint Surgery, Incorporated.
Persistent Identifierhttp://hdl.handle.net/10722/79535
ISSN
2015 Impact Factor: 5.163
2015 SCImago Journal Rankings: 2.938
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, Fen_HK
dc.contributor.authorTu, YKen_HK
dc.contributor.authorChew, WYCen_HK
dc.contributor.authorChow, SPen_HK
dc.date.accessioned2010-09-06T07:55:46Z-
dc.date.available2010-09-06T07:55:46Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of Bone And Joint Surgery - Series A, 2008, v. 90 n. 1, p. 16-22en_HK
dc.identifier.issn0021-9355en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79535-
dc.description.abstractBackground: The most effective method for the fixation of an intra-articular distal radial fracture has not been established. Two commonly used treatment methods are external fixation combined with percutaneous pin fixation and plate fixation. We performed a prospective multicenter randomized trial to compare these two treatment strategies. Methods: A total of 137 patients with 144 intra-articular distal radial fractures were recruited into the study. The average age of the patients was forty-two years, and all patients were sixty years old or less. The patients were randomized to fracture fixation with one of the two methods. At six, twelve, and twenty-four months postoperatively, the patients were assessed with use of the Gartland and Werley point system and the modified Green and O'Brien scoring system. Arthritis was graded on radiographs according to a modification of the Knirk and Jupiter criteria. Results: Seventy-four (51%) of the fractures were treated with external fixation and percutaneous pin fixation, and seventy were treated with dorsal, volar, or combined plate fixation. At the time of the twenty-four-month follow-up, the results for the plate fixation group were significantly better than those for the external fixation and percutaneous pin fixation group according to the Gartland and Werley point system (p = 0.04) and the radiographic arthritis grading system (p = 0.01). The difference was especially notable among patients with AO group-C2 fractures. Conclusions: Plate fixation is better than external fixation combined with percutaneous pin fixation for the treatment of intra-articular fractures of the distal part of the radius. Level of Evidence: Therapeutic Level I. See Instructions to Authors for a complete description of levels of evidence. Copyright © 2008 by The Journal of Bone and Joint Surgery, Incorporated.en_HK
dc.languageengen_HK
dc.publisherJournal of Bone and Joint Surgery. The Journal's web site is located at http://www.jbjs.orgen_HK
dc.relation.ispartofJournal of Bone and Joint Surgery - Series Aen_HK
dc.titleComparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial fractures: A randomized studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0301-620X&volume=90A&issue=1&spage=16&epage=22&date=2008&atitle=Comparison+of+external+and+percutaneous+pin+fixation+with+plate+fixation+for+intra-articular+distal+radial+fractures:++A+randomized+study+en_HK
dc.identifier.emailLeung, F: klleunga@hku.hken_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.authorityLeung, F=rp00297en_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.2106/JBJS.F.01581en_HK
dc.identifier.pmid18171953en_HK
dc.identifier.scopuseid_2-s2.0-37848999421en_HK
dc.identifier.hkuros149828en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-37848999421&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume90en_HK
dc.identifier.issue1en_HK
dc.identifier.spage16en_HK
dc.identifier.epage22en_HK
dc.identifier.isiWOS:000252313400003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLeung, F=7103078631en_HK
dc.identifier.scopusauthoridTu, YK=7201525665en_HK
dc.identifier.scopusauthoridChew, WYC=7202427675en_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK

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