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Similar Outcomes with Volar-Plate Fixation vs Cast Immobilization in Elderly Wrist Fracture Patients

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Ace Report Cover
May 2021

Similar Outcomes with Volar-Plate Fixation vs Cast Immobilization in Elderly Wrist Fracture Patients

Vol: 29| Issue: 1| Number:1| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial

JAMA Surg. 2021 Mar 1;156(3): 229-237.

Contributing Authors:
A Lawson JM Naylor R Buchbinder R Ivers ZJ Balogh P Smith W Xuan K Howard A Vafa D Perriman R Mittal P Yates B Rieger G Smith S Adie I Elkinson W Kim J Sungaran K Latendresse J Wong S Viswanathan K Landale H Drobetz P Tran R Page S Beattie J Mulford I Incoll M Kale B Schick T Li A Higgs A Oppy IA Harris

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Synopsis

One hundred and sixty-six patients who sustained displaced distal radius fractures were randomized to undergo an open reduction and internal fixation procedure using a volar-locking plate (VLP; n=81) or conservative management through closed reduction and cast immobilization (n=85). The primary outcome of interest was pain and function measured using the Patient-Rated Wrist Evaluation (PRWE) at 12...

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