title: Non-bridging external fixation employing multiplanar K-wires versus volar locked plating for dorsally displaced fractures of the distal radius.
abstract: BACKGROUND
  The aim of this study was to compare non-bridging external fixation to palmar angular stable plating with respect to radiological outcome, wrist function, and quality of life.
  
  
  METHODS
  One hundred and two consecutive patients (mean age: 63 years) were enrolled in the study. Fifty-two patients were randomized for plate osteosynthesis (2.4 mm, Synthes), 50 patients received non-bridging external fixation (AO small fixator). Objective (range of motion, grip strength), patient rated outcomes (quality of life, pain), and radiological outcome were assessed 8 weeks, 6 months, and 1 year after surgery.
  
  
  RESULTS
  Loss of radial length of more than 3 mm was not detected in any group. Volar tilt was better restored by external fixation (7.2°) than by volar plating (0.1°). Wrist function was good in both groups. The external fixator was tolerated very well, and the quality of life assessment revealed comparable results in both groups. Osteoporosis was found in 54 % of patients and had no influence on radiological and functional outcome.
  
  
  CONCLUSIONS
  Non-bridging external fixation employing multiplanar K-wires is a suitable treatment option in intra- and extra-articular fractures of the distal radius even in osteoporotic bone.
authors: Department of Trauma and Reconstructive Surgery, Surgical Clinic University of Rostock, Schillingallee 35, Rostock, Germany. ggradl@ukaachen.de
authors: Georg
authors: G
authors: Gradl
authors: Gertraud
authors: G
authors: Gradl
authors: Martina
authors: M
authors: Wendt
authors: Thomas
authors: T
authors: Mittlmeier
authors: Guenther
authors: G
authors: Kundt
authors: Jesse B
authors: JB
authors: Jupiter
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001864:Bone Wires; D016267:External Fixators; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D020127:Recovery of Function; D055815:Young Adult