Local data has shown conflicting results regarding the outcomes of volar locking plates versus external fixators in distal intra-articular radius fractures. Therefore, the current study was planned with the objective of comparing the outcome of a volar locking plate versus an external fixator in distal intra-articular radius fractures.
Determining which method provides superior early functional recovery through this study would be beneficial for generating local data. Understanding and applying improved anatomical reduction techniques and achieving lower complication rates would enable these individuals to mobilize and return to their daily lives more quickly, ultimately enhancing their quality of life.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Patients will be treated with volar locking plates. The distal radius fragments will be stabilized using the conventional modified Henry's volar technique with 2.4 mm locking compression plates.
Patients will be employed with an external fixator, directly fixing to the second or third metacarpal bone using 3-mm pins and the radius using 4-mm Schanz pins.
Bahawal Victoria Hospital
Bahawalpur, Punjab Province, Pakistan
RECRUITINGOperative time
Operative time will be measured in minutes from skin incision to skin closure.
Time frame: 2 hours
Blood Loss
Blood loss will be estimated in milliliters, measuring clots in a suction bottle, the difference between the pre- and postoperative sponge weights using the 1 g-1 ml formula, and blood clots in a clenched fist.
Time frame: 3 hours
Wrist function
Wrist function will be evaluated using the Mayo Wrist Score. Patient frequencies will be recorded, with scores of 90-100 points reflecting an excellent outcome, 80-89 points indicating a good outcome, 60-79 points representing a satisfactory outcome, and scores below 60 points denoting a poor outcome.
Time frame: 3 months
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