Biodegradable rods versus Kirschner wire fixation of wrist fractures. A randomised trial.
In a prospective trial, biodegradable polyglycolic acid rods were compared with Kirschner wires for fixation of wrist fractures (Frykman types I, II, V and VI). Fifteen patients were randomly assigned to each treatment group. There was no significant difference between the groups with regard to age, sex ratio and fracture type. Kapandji's pinning technique was used in all cases. There were no significant differences in the results obtained in both groups at final follow-up. At three months and six months the functional results of the Kirschner-wire group were, however, significantly better (p < 0.05), due to numerous transient complications from foreign-body reactions to the polyglycolic acid rods. The use of polyglycolic acid rods is therefore not recommended for the fixation of distal radial fractures.
Casteleyn
P P
PP
Department of Orthopaedics and Traumatology, Academic Hospital, Vrije Universiteit, Brussel.
Handelberg
F
F
Haentjens
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001673:Biodegradation, Environmental; D001864:Bone Wires; D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011100:Polyglycolic Acid / Q000009:adverse effects / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D011859:Radiography; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*
D011100:Polyglycolic Acid