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Open Reduction and Internal Fixation Compared to Closed Reduction and External Fixation in Distal Radial Fractures Arandomized Study of 40 Patients

Authors: Diaa Gafar Sadik ضياء جعفر سادق --- Zaid Abdali زيد عبد علي
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2014 Volume: 7 Issue: 1 Pages: 1842-1849
Publisher: Kerbala University جامعة كربلاء


Objective: to investigate if open reduction and internal fixation would produce better outcome than external fixation of distal radial fractures.Patients and Methods: 40 patients with unstable or comminuted distal radial fracture where divided randomly into two groups using 2 methods of treatment, in group one closed reduction &bridging external fixation was used ,in group tow open reduction &internal fixation was used. The primary outcome parameter was grip strength, but the patients were followed for 1 year with objective clinical assessment, subjective outcome and radiographic examination.Results & Discussion: At one year postoperatively , grip strength was 89%(standard deviation 15) of the injured side in the internal fixation group and 75%(15) in the external fixation group. Pronation /supnation was 150 (15)in the internal fixation group &136 in(20) in the external fixation group at 1year.4 patients in the external fixation group where reoperated due to malunion as compared to 2 in internal fixation group.6 others are classified as radiographic malunion, 5 in the external fixation ,1 in the internal fixation group.Conclusion: internal fixation gave better grip strength &and better range of motion at one year, and less malunion than external fixation. No difference could be found regarding subjective outcome.

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