External fixation versus "pi" plate for distal radius fractures.
BACKGROUND
Fractures of the distal radius are among the most common fractures in orthopedic practice. The purpose of our study was to explore the advantages and disadvantages of two methods of treatment for this type of fracture.


METHODS
One hundred thirteen fractures of the distal radius have been operated; 49 fractures were treated with an external fixator and 64 fractures by internal fixation using a "pi" plate. The mean follow-up was 12 months. Clinical evaluation was performed using the modified Gartland and Werley's Functional Scoring System. Radiographic evaluation was performed using the modified Lidstrom Radiographic Scoring System.


RESULTS
Clinical results were similar between the two groups of patients (p = 0.46). Radiographic parameters were superior in the group of patients treated with open reduction and internal fixation (p = 0.028).


CONCLUSIONS
Final functional results are comparable between external fixation and dorsal "pi" plating.
Kateros
Konstantinos
K
Trauma & Orthopaedics, Livadia General Hospital, Athens. kkateros@hotmail.com
Macheras
George
G
Galanakos
Spyros P
SP
Sofianos
Ioannis
I
Papakostas
Ioannis
I
Papadakis
Stamatios A
SA
D000328:Adult; D000368:Aged; D001860:Bone Plates; D005260:Female; D005592:Fracture Fixation; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000601:surgery*