Surgical Treatment of Distal Radius Fractures Using Minimally Invasive Plate Osteosynthesis or Open Reduction and Internal Fixation: A Five-Year Comparative Follow-Up Study
Distal radius fractures (DRFs) constitute one of the most prevalent injuries in adults. This study compares the clinical and radiological outcomes of intra- and extra-articular DRFs treated with percutaneous Kirschner wires (PKW) or volar locking plates (VLP). <b>Materials and Methods:</b&g...
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2025-06-01
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| author | Giuseppe Rovere Pierfrancesco Pirri Gianmarco Murgante Vincenzo De Luna Aurelio Testa Giovanna Fidone Francesco Liuzza Pasquale Farsetti Fernando De Maio |
| author_facet | Giuseppe Rovere Pierfrancesco Pirri Gianmarco Murgante Vincenzo De Luna Aurelio Testa Giovanna Fidone Francesco Liuzza Pasquale Farsetti Fernando De Maio |
| author_sort | Giuseppe Rovere |
| collection | DOAJ |
| description | Distal radius fractures (DRFs) constitute one of the most prevalent injuries in adults. This study compares the clinical and radiological outcomes of intra- and extra-articular DRFs treated with percutaneous Kirschner wires (PKW) or volar locking plates (VLP). <b>Materials and Methods:</b> A retrospective analysis was conducted on 42 patients (aged 18 to 85) treated between 2017 and 2019 with a minimum follow-up of five years. Outcomes were assessed using radiographic parameters and validated clinical scoring systems such as Disabilities of the Arm, Shoulder, and Hand (DASH), Patient-Rated Wrist Evaluation (PRWE), and Mayo Wrist Score (MAYO). <b>Results:</b> Clinical outcomes were better in the VLP group but not statistically significant (<i>p</i> > 0.05). For extra-articular fractures, DASH were 1.5 (VLP) vs. 6.4 (PKW) (<i>p</i> = 0.5007), PRWE were 1.3 (VLP) vs. 2.9 (PKW) (<i>p</i> = 0.4049), and MAYO were 95 (VLP) vs. 86.1 (PKW) (<i>p</i> = 0.2406). For intra-articular fractures, DASH were 6.6 (VLP) vs. 19.7 (PKW) (<i>p</i> = 0.0981), PRWE 12.9 (VLP) vs. 21.1 (PKW) (<i>p</i> = 0.3661), and MAYO 78.9 (VLP) vs. 72.2 (PKW) (<i>p</i> = 0.4503). <b>Conclusions:</b> PKW and VLP showed satisfactory long-term outcomes. VLP fixation allowed better short-term recovery and anatomical restoration, but long-term functional outcomes were comparable. |
| format | Article |
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| institution | Kabale University |
| issn | 2076-3417 |
| language | English |
| publishDate | 2025-06-01 |
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| series | Applied Sciences |
| spelling | doaj-art-a9f5db87719d4efcb67317aa660483a22025-08-20T03:46:38ZengMDPI AGApplied Sciences2076-34172025-06-011511623510.3390/app15116235Surgical Treatment of Distal Radius Fractures Using Minimally Invasive Plate Osteosynthesis or Open Reduction and Internal Fixation: A Five-Year Comparative Follow-Up StudyGiuseppe Rovere0Pierfrancesco Pirri1Gianmarco Murgante2Vincenzo De Luna3Aurelio Testa4Giovanna Fidone5Francesco Liuzza6Pasquale Farsetti7Fernando De Maio8Department of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Clinical Science and Translational Medicine, Section of Orthopaedics and Traumatology, University of Rome “Tor Vergata”, 00133 Rome, ItalyDistal radius fractures (DRFs) constitute one of the most prevalent injuries in adults. This study compares the clinical and radiological outcomes of intra- and extra-articular DRFs treated with percutaneous Kirschner wires (PKW) or volar locking plates (VLP). <b>Materials and Methods:</b> A retrospective analysis was conducted on 42 patients (aged 18 to 85) treated between 2017 and 2019 with a minimum follow-up of five years. Outcomes were assessed using radiographic parameters and validated clinical scoring systems such as Disabilities of the Arm, Shoulder, and Hand (DASH), Patient-Rated Wrist Evaluation (PRWE), and Mayo Wrist Score (MAYO). <b>Results:</b> Clinical outcomes were better in the VLP group but not statistically significant (<i>p</i> > 0.05). For extra-articular fractures, DASH were 1.5 (VLP) vs. 6.4 (PKW) (<i>p</i> = 0.5007), PRWE were 1.3 (VLP) vs. 2.9 (PKW) (<i>p</i> = 0.4049), and MAYO were 95 (VLP) vs. 86.1 (PKW) (<i>p</i> = 0.2406). For intra-articular fractures, DASH were 6.6 (VLP) vs. 19.7 (PKW) (<i>p</i> = 0.0981), PRWE 12.9 (VLP) vs. 21.1 (PKW) (<i>p</i> = 0.3661), and MAYO 78.9 (VLP) vs. 72.2 (PKW) (<i>p</i> = 0.4503). <b>Conclusions:</b> PKW and VLP showed satisfactory long-term outcomes. VLP fixation allowed better short-term recovery and anatomical restoration, but long-term functional outcomes were comparable.https://www.mdpi.com/2076-3417/15/11/6235distal radius fracturepercutaneous Kirschner wiresvolar locking platesDASHPRWEMAYO |
| spellingShingle | Giuseppe Rovere Pierfrancesco Pirri Gianmarco Murgante Vincenzo De Luna Aurelio Testa Giovanna Fidone Francesco Liuzza Pasquale Farsetti Fernando De Maio Surgical Treatment of Distal Radius Fractures Using Minimally Invasive Plate Osteosynthesis or Open Reduction and Internal Fixation: A Five-Year Comparative Follow-Up Study Applied Sciences distal radius fracture percutaneous Kirschner wires volar locking plates DASH PRWE MAYO |
| title | Surgical Treatment of Distal Radius Fractures Using Minimally Invasive Plate Osteosynthesis or Open Reduction and Internal Fixation: A Five-Year Comparative Follow-Up Study |
| title_full | Surgical Treatment of Distal Radius Fractures Using Minimally Invasive Plate Osteosynthesis or Open Reduction and Internal Fixation: A Five-Year Comparative Follow-Up Study |
| title_fullStr | Surgical Treatment of Distal Radius Fractures Using Minimally Invasive Plate Osteosynthesis or Open Reduction and Internal Fixation: A Five-Year Comparative Follow-Up Study |
| title_full_unstemmed | Surgical Treatment of Distal Radius Fractures Using Minimally Invasive Plate Osteosynthesis or Open Reduction and Internal Fixation: A Five-Year Comparative Follow-Up Study |
| title_short | Surgical Treatment of Distal Radius Fractures Using Minimally Invasive Plate Osteosynthesis or Open Reduction and Internal Fixation: A Five-Year Comparative Follow-Up Study |
| title_sort | surgical treatment of distal radius fractures using minimally invasive plate osteosynthesis or open reduction and internal fixation a five year comparative follow up study |
| topic | distal radius fracture percutaneous Kirschner wires volar locking plates DASH PRWE MAYO |
| url | https://www.mdpi.com/2076-3417/15/11/6235 |
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