Disability score and range of motion favoured with palmar plating versus casting for displaced DRF

Study Type:Therapy

OE Level Evidence:2

Journal Level of Evidence:N/A

Early palmar plate fixation of distal radius fractures may benefit patients aged 50 years or older: a randomized trial comparing 2 different treatment protocols

Acta Orthop. 2019 Apr;90(2):123-128. doi: 10.1080/17453674.2018.1561614

Contributing Authors: P Ohtonen J Leppilahti T Flinkkila K Sirnio

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Synopsis

80 patients with a displaced distal radius fracture were randomized to primary treatment through either palmar plate fixation or cast immobilization. Patients were assessed over 2-year follow-up, which included patient-reported disability (Disabilities of the Arm, Shoulder, and Hand [DASH]), wrist range of motion, grip strength, adverse events, and cases of secondary surgery. A total of 18/42 pati...