Similar Outcomes with Volar-Plate Fixation vs Cast Immobilization in Elderly Wrist Fracture Patients .
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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.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 months post-treatment. Results revealed that the PRWE scores at 12 months follow-up were not significantly different between the 2 groups.
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