Efficacy of different fixation devices in maintaining an initial reduction for surgically managed distal radius fractures

Description: The best method of treatment for these fractures remains controversial. We sought to examine radiographic outcomes of patients treated with nonspanning external fixator (NSEF), open reduction and internal fixation (ORIF) with locking plates and screws or closed reduction and percutaneous pinning (CRPP) and compare their ability to maintain radiographic parameters over the initial 6-week postoperative period.
Conclusion: Treatment with ORIF for comminuted, intra-articular distal radius fractures produces good radiographic results with maintenance of surgical radio - graphic parameters, whereas NSEFand CRPP of less complex fractures also provide good results. This suggests that fracture-specific fixation with CRPP or NSEF are sufficient for certain distal radius fractures.
Efficacy of different fixation devices in maintaining an initial reduction for surgically managed distal radius fractures L. Geller, M. Bernstein, A. Carli, G. Berry, R. Reindl, E. Harvey