Evaluation of current treatment techniques for distal radius fractures amongst Belgian orthopaedic surgeons

This online questionnaire was initiated to investigate if a consensus on the treatment of distal radius fractures amongst orthopaedic surgeons in Belgium exist. Two cases were presented: an extra-articular fracture, with dorsal displacement (Frykman type I) and a displaced intra-articular fracture (Frykman type VII). Treatment of choice and rationale of choice were investigated. 158 responses were collected. In case of a Frykman type I, the majority of surgeons would have performed a closed reduction and intrafocal K-wiring (37.3%) or volar plating (34.8%). In case of a Frykman type VII, volar plating was the primary treatment of choice (66.5%), closed reduction and K-wiring was chosen in 24.7% and external fixation in 4.4%. We cannot conclude on a consensus in treatment choice amongst Belgian orthopaedic surgeons. Compared to previous research, an increase in the use of volar plating in intra- as well as in extra-articular distal radius fractures was noticed.