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Original

Open reduction and internal fixation compared to closed reduction and external fixation in distal radial fractures

A randomized study of 50 patients

, , &
Pages 478-485 | Accepted 22 Feb 2009, Published online: 13 Aug 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (5)

Marcus Landgren, Antonio Abramo, Mats Geijer, Philippe Kopylov & Magnus Tägil. (2017) Similar 1-year subjective outcome after a distal radius fracture during the 10-year-period 2003–2012. Acta Orthopaedica 88:4, pages 451-456.
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Carin C. Rubensson, Karin Ydreborg, Linda Boren & Lars-Erik Karlander. (2015) Flexor tendon repair after rupture caused by volar plate fixation of the distal radius. Journal of Plastic Surgery and Hand Surgery 49:2, pages 112-115.
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Xuetao Xie, Xiaoxing Xie, Hui Qin, Longxiang Shen & Changqing Zhang. (2013) Comparison of internal and external fixation of distal radius fractures. Acta Orthopaedica 84:3, pages 286-291.
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Marcus Landgren, Daniel Jerrhag, Magnus Tägil, Philippe Kopylov, Mats Geijer & Antonio Abramo. (2011) External or internal fixation in the treatment of non-reducible distal radial fractures?. Acta Orthopaedica 82:5, pages 610-613.
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Maria K T Wilcke, Hassan Abbaszadegan & Per Y Adolphson. (2011) Wrist function recovers more rapidly after volar locked plating than after external fixation but the outcomes are similar after 1 year. Acta Orthopaedica 82:1, pages 76-81.
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Articles from other publishers (52)

Jared A. Bell, Nicholas F. James, Benjamin M. Mauck, James H. Calandruccio & William J. Weller. (2024) The Pitfalls of Difficult Distal Radius Fractures and Provisional Reduction. Orthopedic Clinics of North America 55:1, pages 113-122.
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Vincent Lau, Rick Tosti & Michael Rivlin. (2023) Technique for Minimally Invasive, Arthroscopic-assisted Distal Radius Fracture Fixation. Techniques in Hand & Upper Extremity Surgery.
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Xuanchi Liu, Jinjing Liao, Minoo Patel, Saeed Miramini, Ji Qu & Lihai Zhang. (2023) Effect of uncertain clinical conditions on the early healing and stability of distal radius fractures. Computer Methods and Programs in Biomedicine, pages 107774.
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Xuanchi Liu, Saeed Miramini, Minoo Patel, Peter Ebeling, Jinjing Liao & Lihai Zhang. (2023) Development of numerical model-based machine learning algorithms for different healing stages of distal radius fracture healing. Computer Methods and Programs in Biomedicine 233, pages 107464.
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Lyahn K. Hwang, Nicolas Greige, Fei Wang, Joseph K. Yi, Matthew D. Treiser & Joseph A. Ricci. (2022) Use of Plain Radiography of Uninjured Wrists as Patient-Specific Markers of Successful Reduction of Unilateral Distal Radius Fractures. HAND 17:1_suppl, pages 129S-134S.
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Gaurav SalveDrDr, Pravin P BandeDrDr, Suyash SinghaniaDr.Dr. & Sagar WajekarDr.Dr.. (2022) COMPARATIVE STUDY OF FUNCTIONAL AND RADIOLOGICAL OUTCOME OF AUGMENTED EXTERNAL FIXATOR VERSUS VOLAR LOCKING PLATE IN INTRAARTICULAR FRACTURES OF DISTAL END RADIUS.. PARIPEX INDIAN JOURNAL OF RESEARCH, pages 65-68.
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Qi Gou, Xiong Xiong, Dan Cao, Yuanliang He & Xu Li. (2021) Volar locking plate versus external fixation for unstable distal radius fractures: a systematic review and meta-analysis based on randomized controlled trials. BMC Musculoskeletal Disorders 22:1.
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Xuanchi Liu, Saeed Miramini, Minoo Patel, JinJing Liao, Darpan Shidid & Lihai Zhang. (2021) Balance Between Mechanical Stability and Mechano-Biology of Fracture Healing Under Volar Locking Plate. Annals of Biomedical Engineering 49:9, pages 2533-2553.
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Beatriz Canhoto Carula, Matheus da Silva Pereira, Ana Paula Bonilauri Ferreira, Henrique Ayzemberg, Valdir Steglich & Tiago Salati Stangarlin. (2020) Análise clínica e radiológica do resultado placa ponte versus fixador externo na fratura cominutiva do rádio distal. Revista Brasileira de Ortopedia 56:01, pages 061-068.
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Lisa Egund, Karin Önnby, Fiona Mcguigan & Kristina Åkesson. (2020) Disability and Pain are the Best Predictors of Sick Leave After a Distal Radius Fracture in Men. Journal of Occupational Rehabilitation 30:4, pages 656-664.
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Serdar MENEKŞE. (2020) Achievement rate and complications of comminuted ıntra-articular distal radius fracture treatment by means of closed reduction and use of external fixatorEklem içi distal radius kırıklarında kapalı redüksiyon ve eksternal fiksatör kullanılarak yapılan tedavinin başarı ve komplikasyon oranları. Turkish Journal of Clinics and Laboratory 11:4, pages 214-219.
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Anna Lena Sander, Maximilian Leiblein, Katharina Sommer, Ingo Marzi, Dorien Schneidmüller & Johannes Frank. (2018) Epidemiology and treatment of distal radius fractures: current concept based on fracture severity and not on age. European Journal of Trauma and Emergency Surgery 46:3, pages 585-590.
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I. García-Cepeda, I. Aguado-Maestro, I. De Blas-Sanz, A. Quintanilla-García & M. García-Alonso. (2020) Radiological results of surgical management of fracture of the distal radius treated with volar locking plates. Injury 51, pages S42-S47.
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Christopher Vannabouathong, Nasir Hussain, Ernesto Guerra-Farfan & Mohit Bhandari. (2019) Interventions for Distal Radius Fractures: A Network Meta-analysis of Randomized Trials. Journal of the American Academy of Orthopaedic Surgeons 27:13, pages e596-e605.
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Jenny Saving, Anders Enocson, Sari Ponzer & Cecilia Mellstrand Navarro. (2019) External Fixation Versus Volar Locking Plate for Unstable Dorsally Displaced Distal Radius Fractures—A 3-Year Follow-Up of a Randomized Controlled Study. The Journal of Hand Surgery 44:1, pages 18-26.
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Helen HG Handoll, Joanne Elliott, Zipporah Iheozor-Ejiofor, James Hunter & Alexia Karantana. (2018) Interventions for treating wrist fractures in children. Cochrane Database of Systematic Reviews 2018:12.
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Håkon With Solvang, Robin Andre Nordheggen, Ståle Clementsen, Ola-Lars Hammer & Per-Henrik Randsborg. (2018) Epidemiology of distal radius fracture in Akershus, Norway, in 2010–2011. Journal of Orthopaedic Surgery and Research 13:1.
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Benjamin M. Mauck & Colin W. Swigler. (2018) Evidence-Based Review of Distal Radius Fractures. Orthopedic Clinics of North America 49:2, pages 211-222.
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Prashant V. Rajan, Rameez A. Qudsi, George S.M. Dyer & Elena Losina. (2018) The Cost-Effectiveness of Surgical Fixation of Distal Radial Fractures. Journal of Bone and Joint Surgery 100:3, pages e13.
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Z.Z. Yuan, Z. Yang, Q. Liu & Y.M. Liu. (2018) Complications following open reduction and internal fixation versus external fixation in treating unstable distal radius fractures: Grading the evidence through a meta-analysis. Orthopaedics & Traumatology: Surgery & Research 104:1, pages 95-103.
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Qiang Fu, Lei Zhu, Peng Yang & Aimin Chen. (2018) Volar locking plate versus external fixation for distal radius fractures: A meta-analysis of randomized controlled trials. Indian Journal of Orthopaedics 52:6, pages 602.
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Joseph P. Rectenwald, K. Ashley Bentley, Peter M. Murray & Subrata Saha. (2017) Strain as a Function of Time in Extrinsic Wrist Ligaments Tensioned Through External Fixation. HAND 13:1, pages 60-64.
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Cameron T. Atkinson, Michelle S. Shen, Samuel A. Trenner, Philipp N. Streubel & Jeffry T. Watson. 2018. Orthopedic Traumatology. Orthopedic Traumatology 139 151 .
Marcus Landgren, Antonio Abramo, Mats Geijer, Philippe Kopylov & Magnus Tägil. (2017) Fragment-Specific Fixation Versus Volar Locking Plates in Primarily Nonreducible or Secondarily Redisplaced Distal Radius Fractures: A Randomized Controlled Study. The Journal of Hand Surgery 42:3, pages 156-165.e1.
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Young-Hoon Jo, Bong-Gun Lee, Joo-Hak Kim, Chang-Hun Lee, Sung-Jae Kim, Wan-Sun Choi, Ja-Wook Koo & Kwang-Hyun Lee. (2017) National Surgical Trends for Distal Radius Fractures in Korea. Journal of Korean Medical Science 32:7, pages 1181.
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Guang-Yue Xu, Yong Qiu & Hai-Jun Mao. (2016) A Network Meta-analysis of Outcomes of 7 Surgical Treatments for Distal Radius Fractures. American Journal of Therapeutics 23:6, pages e1320-e1328.
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Chuang Ma, Qiang Deng, Hongwei Pu, Xinchun Cheng, Yuhua Kan, Jing Yang, Aihemaitijiang Yusufu & Li Cao. (2016) External fixation is more suitable for intra-articular fractures of the distal radius in elderly patients. Bone Research 4:1.
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Gwen Weinstock-Zlotnick & Saurabh P. Mehta. (2016) A structured literature synthesis of wrist outcome measures: An evidence-based approach to determine use among common wrist diagnoses. Journal of Hand Therapy 29:2, pages 98-110.
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Qingyu Zhang, Fanxiao Liu, Zhenyun Xiao, Zhenfeng Li, Bomin Wang, Jinlei Dong, Yong Han, Dongsheng Zhou & Jianmin Li. (2016) Internal Versus External Fixation for the Treatment of Distal Radial Fractures. Medicine 95:9, pages e2945.
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Mohammad Hossein Karimi Nasab, Masoud Shayesteh Azar, Samira Fazel Moghaddam & Mehrdad Taghipour. (2015) Success Rate and Complications of Comminuted Intra-Articular Distal Radius Fracture Treatment via Closed Reduction and Use of a Mini-External Fixator. Trauma Monthly 20:4.
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Wen-Jun Qiu, Yi-Fan Li, Yun-Han Ji, Wei Xu, Xiao-Dong Zhu, Xian-Zhong Tang, Huan-Li Zhao, Gui-Bin Wang, Yue-Qing Jia, Shi-Cai Zhu, Feng-Fang Zhang & Hong-Mei Liu. (2015) The comparative risk of developing postoperative complications in patients with distal radius fractures following different treatment modalities. Scientific Reports 5:1.
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François Loisel, Xavier Bouilloux, Julien Uhring, Séverin Rochet & Laurent Obert. (2015) Early postoperative improvements in the QuickDASH score after distal radius fracture are related to the type of surgical treatment. European Journal of Orthopaedic Surgery & Traumatology 25:5, pages 865-869.
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Cary Fletcher. (2015) Plating Versus External Fixation of Displaced Distal Radial Fractures. MOJ Orthopedics & Rheumatology 2:2.
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Karin Ydreborg, Christina Engstrand, Ingrid Steinvall & Eva-Lena Larsson. (2015) Hand Function, Experienced Pain, and Disability After Distal Radius Fracture. The American Journal of Occupational Therapy 69:1, pages 6901290030p1-6901290030p7.
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Huan-Li ZhaoGui-Bin WangYue-Qing JiaShi-Cai ZhuFeng-Fang ZhangHong-Mei Liu. (2015) Comparison of Risk of Carpal Tunnel Syndrome in Patients with Distal Radius Fractures After 7 Treatments. Medical Science Monitor 21, pages 2837-2844.
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Marcus Landgren, Antonio Abramo, Mats Geijer, Philippe Kopylov & Magnus T?gil. (2014) A Prospective Randomized Trial Comparing Fragment-Specific Fixation and Volar Locking Plates in Displaced and Unstable Distal Radial Fractures. The Journal of Hand Surgery 39:9, pages e10-e11.
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Magnus Tägil & Antonio Abramo. 2014. Distal Radius Fractures. Distal Radius Fractures 171 180 .
Philippe Kopylov, Antonio Abramo, Ante Mrkonjic & Magnus Tägil. 2014. European Surgical Orthopaedics and Traumatology. European Surgical Orthopaedics and Traumatology 1675 1697 .
K. Wegmann, E. Skouras, Y. Hosseini, V. Berger & T. C. Koslowsky. (2013) Operative treatment and outcome of unstable distal radial fractures using a palmar T-miniplate at a non-specialized institution. Strategies in Trauma and Limb Reconstruction 8:3, pages 155-160.
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J. C. Goslings, Monique M. J. Walenkamp, Abdelali Bentohami, M. Suzan H. Beerekamp, Rolf W. Peters, Remy van der Heiden & Niels W. L. Schep. (2013) Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis. Strategies in Trauma and Limb Reconstruction 8:2, pages 67-75.
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J. Wang, Y. Yang, J. Ma, D. Xing, S. Zhu, B. Ma, Y. Chen & X. Ma. (2013) Open reduction and internal fixation versus external fixation for unstable distal radial fractures: A meta-analysis. Orthopaedics & Traumatology: Surgery & Research 99:3, pages 321-331.
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John Esposito, Emil H. Schemitsch, Michel Saccone, Amir Sternheim & Paul R.T. Kuzyk. (2013) External fixation versus open reduction with plate fixation for distal radius fractures: A meta-analysis of randomised controlled trials. Injury 44:4, pages 409-416.
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Cameron T. Atkinson, Philipp N. Streubel & Jeffry Watson. 2013. Orthopedic Traumatology. Orthopedic Traumatology 151 165 .
David H. Wei, Rudolf W. Poolman, Mohit Bhandari, Valerie M. Wolfe & Melvin P. Rosenwasser. (2012) External Fixation Versus Internal Fixation for Unstable Distal Radius Fractures. Journal of Orthopaedic Trauma 26:7, pages 386-394.
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J. Jeudy, V. Steiger, P. Boyer, P. Cronier, P. Bizot & P. Massin. (2012) Treatment of complex fractures of the distal radius: A prospective randomised comparison of external fixation ‘versus’ locked volar plating. Injury 43:2, pages 174-179.
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Emmanuel P. Estrella & Paulo L. Panti. (2012) OUTCOME OF UNSTABLE DISTAL RADIUS FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION VERSUS EXTERNAL FIXATION. Hand Surgery 17:02, pages 173-179.
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Ruby Grewal, Joy C. MacDermid, Graham J.W. King & Kenneth J. Faber. (2011) Open Reduction Internal Fixation Versus Percutaneous Pinning With External Fixation of Distal Radius Fractures: A Prospective, Randomized Clinical Trial. The Journal of Hand Surgery 36:12, pages 1899-1906.
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Ville M. Mattila, Tuomas T. Huttunen, Petri Sillanpää, Seppo Niemi, Harri Pihlajamäki & Pekka Kannus. (2011) Significant Change in the Surgical Treatment of Distal Radius Fractures: A Nationwide Study Between 1998 and 2008 in Finland. Journal of Trauma: Injury, Infection & Critical Care 71:4, pages 939-943.
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Zhuang Cui, Jianhong Pan, Bin Yu, Kairui Zhang & Xiaolong Xiong. (2011) Internal versus external fixation for unstable distal radius fractures: an up-to-date meta-analysis. International Orthopaedics 35:9, pages 1333-1341.
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Melissa J. Shauver, Huiying Yin, Mousumi Banerjee & Kevin C. Chung. (2011) Current and Future National Costs to Medicare for the Treatment of Distal Radius Fracture in the Elderly. The Journal of Hand Surgery 36:8, pages 1282-1287.
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John Weinlein & Andrew H Schmidt. (2010) Whatʼs New in Orthopaedic Trauma. The Journal of Bone and Joint Surgery-American Volume 92:12, pages 2247-2260.
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Lisa K. Cannada. (2010) Commentary on an Article by K.A. Egol, MD, et al.: “Distal Radial Fractures in the Elderly: Operative Compared with Nonoperative Treatment”. Journal of Bone and Joint Surgery 92:9, pages e11.
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