The Results of Management of Distal End Radius Fractures by Various Modalities
Introduction: Distal end radius fractures constitute 16-20% of all fractures. Extra-articular fractures are managed with closed reduction and casting, while intraarticular fractures require more invasive treatment due to instability and conservative treatment complications. Despite extensive resear...
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Tehran University of Medical Sciences
2025-03-01
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| Series: | Journal of Orthopedic and Spine Trauma |
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| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/605 |
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| author | Mansi J Patel Dhyey Baldha Aaksh Nareshbhai Koladiya Lalit Bambhaniya Utkarsh Panchal Tejas Jogi Ishani Patel Neel Bhavsar |
| author_facet | Mansi J Patel Dhyey Baldha Aaksh Nareshbhai Koladiya Lalit Bambhaniya Utkarsh Panchal Tejas Jogi Ishani Patel Neel Bhavsar |
| author_sort | Mansi J Patel |
| collection | DOAJ |
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Introduction: Distal end radius fractures constitute 16-20% of all fractures. Extra-articular fractures are managed with closed reduction and casting, while intraarticular fractures require more invasive treatment due to instability and conservative treatment complications. Despite extensive research, the optimal treatment for distal end radius fractures remains unclear, prompting ongoing comparative studies.
Material and method:40 patients were treated and followed up for a period from 3 to 14 months. Each patient underwent detailed clinical and radiological examinations of the affected wrist, using AO Classification. Radiographs were routinely taken to evaluate extra-articular deformities and articular incongruences. Treatment decisions—plating, external fixation, or conservative management—were based on fracture type and patient physiology. Follow-ups occurred at various intervals, with assessments including hand grip strength comparison, radiographic measurements, and clinical evaluation of fracture union using Green and O’Brian scoring and Sarmiento radiological criteria
Results: Our study included 40 patients with distal end radius fractures, averaging 40.625 years old. Treatment distribution was 8 patients with reduction cast/slab, 18 with external fixators, and 14 with plating. Plating showed 57.28% excellent, 28.57% good, and 14.28% fair outcomes. External fixators had 33.33% excellent, 33.33% good, 16.67% fair, and 16.67% poor outcomes. Conservative management had 25% excellent, 37.5% good, 25% fair, and 12.5% poor outcomes.
Conclusion: We concluded that Conservative management with a reduction pop slab/cast is suitable for extra-articular fractures in elderly patients. External fixation is effective for osteoporotic or comminuted fractures. Plating is recommended for intra-articular fractures in young patients.
Keywords:distal end radius fracture,external fixator,volar plating,conservative management
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| format | Article |
| id | doaj-art-219db692c90a4c269d4e77e46c49a2f5 |
| institution | OA Journals |
| issn | 2538-2330 2538-4600 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj-art-219db692c90a4c269d4e77e46c49a2f52025-08-20T01:57:40ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002025-03-0111110.18502/jost.v11i1.18011The Results of Management of Distal End Radius Fractures by Various ModalitiesMansi J Patel0Dhyey Baldha1Aaksh Nareshbhai Koladiya2Lalit Bambhaniya3Utkarsh Panchal4Tejas Jogi5Ishani Patel6Neel Bhavsar7Ms Orthopaedics, Assistant Professor, Department Of Orthopaedics, Smt Nhl Medical College, Ahmedabad , IndiaMs Orthopaedics, Senior Resident, Department Of Orthopaedics, Smt Nhl Medical College, Ahmedabad , IndiaSMT. NHL MEDICAL COLLEGE, AHMEDABADMs Orthopaedics,Resident doctor, Department Of Orthopaedics, Smt Nhl Medical College, Ahmedabad , IndiaMs Orthopaedics,Resident doctor, Department Of Orthopaedics, Smt Nhl Medical College, Ahmedabad , IndiaMs Orthopaedics,Resident doctor, Department Of Orthopaedics, Smt Nhl Medical College, Ahmedabad , IndiaMs Orthopaedics, Associate Professor, Department Of Orthopaedics, Smt Nhl Medical College, Ahmedabad , IndiaMs Orthopaedics, Professor, Department Of Orthopaedics, Smt Nhl Medical College, Ahmedabad , India Introduction: Distal end radius fractures constitute 16-20% of all fractures. Extra-articular fractures are managed with closed reduction and casting, while intraarticular fractures require more invasive treatment due to instability and conservative treatment complications. Despite extensive research, the optimal treatment for distal end radius fractures remains unclear, prompting ongoing comparative studies. Material and method:40 patients were treated and followed up for a period from 3 to 14 months. Each patient underwent detailed clinical and radiological examinations of the affected wrist, using AO Classification. Radiographs were routinely taken to evaluate extra-articular deformities and articular incongruences. Treatment decisions—plating, external fixation, or conservative management—were based on fracture type and patient physiology. Follow-ups occurred at various intervals, with assessments including hand grip strength comparison, radiographic measurements, and clinical evaluation of fracture union using Green and O’Brian scoring and Sarmiento radiological criteria Results: Our study included 40 patients with distal end radius fractures, averaging 40.625 years old. Treatment distribution was 8 patients with reduction cast/slab, 18 with external fixators, and 14 with plating. Plating showed 57.28% excellent, 28.57% good, and 14.28% fair outcomes. External fixators had 33.33% excellent, 33.33% good, 16.67% fair, and 16.67% poor outcomes. Conservative management had 25% excellent, 37.5% good, 25% fair, and 12.5% poor outcomes. Conclusion: We concluded that Conservative management with a reduction pop slab/cast is suitable for extra-articular fractures in elderly patients. External fixation is effective for osteoporotic or comminuted fractures. Plating is recommended for intra-articular fractures in young patients. Keywords:distal end radius fracture,external fixator,volar plating,conservative management https://jost.tums.ac.ir/index.php/jost/article/view/605distal end radius fractureexternal fixatorvolar platingconservative management |
| spellingShingle | Mansi J Patel Dhyey Baldha Aaksh Nareshbhai Koladiya Lalit Bambhaniya Utkarsh Panchal Tejas Jogi Ishani Patel Neel Bhavsar The Results of Management of Distal End Radius Fractures by Various Modalities Journal of Orthopedic and Spine Trauma distal end radius fracture external fixator volar plating conservative management |
| title | The Results of Management of Distal End Radius Fractures by Various Modalities |
| title_full | The Results of Management of Distal End Radius Fractures by Various Modalities |
| title_fullStr | The Results of Management of Distal End Radius Fractures by Various Modalities |
| title_full_unstemmed | The Results of Management of Distal End Radius Fractures by Various Modalities |
| title_short | The Results of Management of Distal End Radius Fractures by Various Modalities |
| title_sort | results of management of distal end radius fractures by various modalities |
| topic | distal end radius fracture external fixator volar plating conservative management |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/605 |
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