Document Detail

Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: a randomised, controlled trial.
MedLine Citation:
PMID:  15911668     Owner:  NLM     Status:  MEDLINE    
A total of 179 adult patients with displaced intra-articular fractures of the distal radius was randomised to receive indirect percutaneous reduction and external fixation (n = 88) or open reduction and internal fixation (n = 91). Patients were followed up for two years. During the first year the upper limb musculoskeletal function assessment score, the SF-36 bodily pain sub-scale score, the overall Jebsen score, pinch strength and grip strength improved significantly in all patients. There was no statistically significant difference in the radiological restoration of anatomical features or the range of movement between the groups. During the period of two years, patients who underwent indirect reduction and percutaneous fixation had a more rapid return of function and a better functional outcome than those who underwent open reduction and internal fixation, provided that the intra-articular step and gap deformity were minimised.
H J Kreder; D P Hanel; J Agel; M McKee; E H Schemitsch; T E Trumble; D Stephen
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  87     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-24     Completed Date:  2005-08-08     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  829-36     Citation Subset:  AIM; IM    
Division of Orthopaedics, University of Toronto, Ontario M4N 3M5, Canada.
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MeSH Terms
External Fixators
Fracture Fixation / methods*
Fracture Fixation, Internal / methods
Hand Strength
Middle Aged
Postoperative Complications
Radius Fractures / radiography,  surgery*
Range of Motion, Articular
Recovery of Function
Treatment Outcome
Wrist Injuries / physiopathology,  radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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