Surgical Fixation with K-wires vs. Casting in Adults with Distal Radius Fractures .
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Surgical fixation with K-wires versus casting in adults with fracture of distal radius: DRAFFT2 multicentre randomised clinical trial.
BMJ. 2022 Jan 19:376:e068041.Five hundred adult patients with dorsally displaced distal radius fractures amenable to closed reduction were randomized to receive K-wire fixation (n=245) or moulded cast (n=255). The primary outcome was wrist function as measured by the Patient Rated Wrist Evaluation (PRWE) at 12 month follow-up. Secondary outcomes included quality of life, complications and the need for further surgery. There was no significant difference in PRWE scores or quality of life at any time point postoperatively. The moulded cast group had significantly higher rates of loss of fracture reduction at 6 weeks and need for further surgery within a year of the injury.
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