Treatment of distal radius fractures:a comparison between plate internal fixation and percutaneous K-wires fixation

VernacularTitle:钢板内固定与经皮克氏针固定治疗桡骨远端骨折疗效比较
Author: Xin GU ; Lieming LOU ; Shaohua LI
Publication Type:Journal Article
Keywords: Radius fracture; Colles' fracture; Fracture fixation,internal
From: Chinese Journal of Trauma 2009;25(2):141-144
CountryChina
Language:Chinese
Abstract: Objective To compare the clinical results of open reduction and plate internal fixation and percutaneous kirschner-wire fixation in the management of distal radius fractures. Methods A retrospective comparison was done on clinical data of 110 patients with distal radius fractures who were treated by plate internal fixation and that of 107 by pereutaneous kirschner-wire fixation from January 2002 to June 2007. Results All patients were followed up for 5-12 months. According to Gartland and Werley scoring system, the excellent rate was 86.4% in plate internal fixation group, which was significantly higher than 74.8% in percutaneous kirschner-wire fixation group (P <0.05). As for type C3 fractures, the excellent rate of the two groups were 76.9% and 70.0%, with no statistical difference (P >0.05). Conclusions Compared with percutaneous kirschner-wire fixation, plate internal fixation is better in treatment of distal radius fractures, but has poor results in management of type C3 fractures.