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Volar Plate Versus Kirschner-Wire Fixation in Intra-Articular Fracture of Distal Radius
Barada Prasanna Samal1, Sasmita Pradhan2, Rashmi Ranjan Mohanty3
1Department of Orthopeadics, PRM Medical College and Hospital, Odisha, India.
Background:
Fractures of the distal radius are common and increasing in incidence due to osteoporosis and high-risk sporting activities. This study aims to compare the clinical, functional, and radiological outcomes of intra-articular distal radius fractures treated with volar plating versus Kirschner-wire (K-wire) fixation.
Methods:
A prospective randomized study was conducted on 50 patients with intra-articular distal radius fractures. Patients were divided into two groups: 25 treated with volar plating and 25 with K-wire fixation. Outcomes were assessed using the MAYO wrist score, DASH score, range of motion, grip strength, and radiological evaluation.
Results:
The mean time to union was significantly shorter in the plating group (6.72 weeks) compared to the K-wire group (8.64 weeks; P = 0.04). The plating group had better functional outcomes with higher MAYO scores (87.8 vs. 73.6; P = 0.001) and lower DASH scores (7.86 vs. 13.94; P = 0.03). Radiological parameters and grip strength were also significantly improved in the plating group.
Conclusion:
Volar plating provides superior functional and radiological outcomes compared to K-wire fixation in treating intra-articular distal radius fractures, especially in patients with complex fractures.
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