Work

Volar Plate Versus Kirschner-Wire Fixation in Intra-Articular Fracture of Distal Radius

Year: 2025

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: A BSTRACT Background: Fractures of the distal radius are common and increasing in incidence due to osteoporosis and high-risk sporting activities. This study aims to compare the clinical, functional, and radiological outcomes of intra-articular distal radius fractures treated with volar plating versus Kirschner-wire (K-wire) fixation. Methods: A prospective randomized study was conducted on 50 patients with intra-articular distal radius fractures. Patients were divided into two groups: 25 treated with volar plating and 25 with K-wire fixation. Outcomes were assessed using the MAYO wrist score, DASH score, range of motion, grip strength, and radiological evaluation. Results: The mean time to union was significantly shorter in the plating group (6.72 weeks) compared to the K-wire group (8.64 weeks; P = 0.04). The plating group had better functional outcomes with higher MAYO scores (87.8 vs. 73.6; P = 0.001) and lower DASH scores (7.86 vs. 13.94; P = 0.03). Radiological parameters and grip strength were also significantly improved in the plating group. Conclusion: Volar plating provides superior functional and radiological outcomes compared to K-wire fixation in treating intra-articular distal radius fractures, especially in patients with complex fractures.

Source: Journal of Pharmacy And Bioallied Sciences

DOI: 10.4103/jpbs.jpbs_1492_24

Authors: Barada Prasanna Samal, Sasmita Pradhan, Rashmi Ranjan Mohanty, Gaurav Chatterjee, Tonima Acharya, Braja Sundar Sahoo

Institutions: Sriram Chandra Bhanja Medical College Hospital, Veer Surendra Sai Medical College and Hospital

Language: English

Topic: Orthopedic Surgery and Rehabilitation

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $250