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- W2275370257 abstract "We hypothesized that at 12 months volar locking plating (VP) would provide better clinical and radiologic outcomes than external fixation (EF) for the treatments of AO-type C2 and C3 DRFs without additional complications. From an initial group of 92 patients with AO-type C2 and C3 distal radius fractures who were enrolled in a prospective, randomized study comparing volar plate fixation with external fixation (+/- intra-focal fixation), 74 patients were studied. Functional assessments (wrist range of motion, grip strength, Michigan Hand Questionnaire) were evaluated at each patient visit and radiographic assessment (radial inclination, volar tilt, ulnar variance, and articular congruity) were measured at month 12. The grip strength of the VP group was significantly greater than that of the EF group at 3 and 6 months. The range of motion was significantly greater in the VP group than in the EF group at 3 months. There were no significant differences in the range of motion and grip strength between the 2 groups at 12 months. The Michigan Hand Questionnaire score was higher in the VP group than in the EF group at 3 months but were same at 12 months. There was no significant difference between the 2 groups with respect to volar tilt or radial inclination. The VP group showed superior radiologic outcomes in terms of the ulnar variance. One patient in the VP group and 3 in the EF group had an intra-articular step-off deformity greater than 2mm. This difference did not reach statistical significance. The VP group showed superior results for functional recovery and radiologic outcomes in terms of the ulnar variance. However, there were no significant differences in functional scores between the VP and EF groups at 12 months.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
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- W2275370257 date "2015-09-01" @default.
- W2275370257 modified "2023-09-22" @default.
- W2275370257 title "A Prospective, Randomized Comparison of Volar Plate and External Fixation for Intra-articular Distal Radius Fractures" @default.
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- W2275370257 doi "https://doi.org/10.1016/j.jhsa.2015.06.017" @default.
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