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233862

Comparing Outcomes of Displaced Distal Radius Fracture Treated by Volar Plate versus K Wire, Meta-analysis Study

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Orthopedic

Abstract

Background: In clinical practice, dorsally displaced distal radius fractures are a common injury. The two most common surgical fixation techniques used to manage DDDRF are traditional percutaneous Kirschner wires and open reduction with volar locking plate. However, there is currently no conclusive evidence to guide the selection of one technique over another. Therefore, the aim of our meta-analysis is to compare the radiographic and functional outcomes of displaced distal radius fracture treated by volar plate versus k wire and to compare wrist motion, radiographic outcomes, and complications of volar plate versus k wire in patients with displaced distal radius fractures. Material: This meta-analysis reviewed 7 different studies to identify the best treatment option of the distal radial fracture. We searched for the clinical studies that comparing K-wire fixation of distal radius with volar locked plated for treatment of radius shaft fracture in adult. After analyzing the included studies we had pooled the available data about operative time and post-operative data like, union time, angulation, and complex regional pain trauma disability of the arm shoulder and hand patient rated wrist evaluation, implant failure, infection and other surgical wound complications. Results: Open reduction and internal fixation with a volar locking plate and closed reduction with percutaneous kirschner wire fixation provide comparable excellent clinical and radiographic results in patients with distal radial fractures. ORIF with VLP fixation provided lower DASH scores than closed reduction with percutaneous kirschner wire fixation. Conclusion: K wiring remains a simple and inexpensive option for simple fracture patterns.

DOI

10.21608/zumj.2022.132966.2549

Keywords

DDDRF, volar locking plate, K-wire, Meta-Analysis

Authors

First Name

Asuikar

Last Name

Faraj

MiddleName

O Buzaid

Affiliation

Orthopedic department, Faculty of medicine, Benghazi University- Libya

Email

asuikarpouzaid@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

ELsofy

MiddleName

-

Affiliation

Orthopedic department, Faculty of medicine, Zagazeg University, Egypt

Email

melsofy1965@yahoo.com

City

-

Orcid

-

First Name

Amr

Last Name

El-Adawy

MiddleName

Mohamed

Affiliation

Orthopedic department, Faculty of medicine, Zagazeg University, Egypt

Email

aeladawy@gmail.com

City

-

Orcid

-

First Name

Tarek

Last Name

Elhewala

MiddleName

Abdelsamad

Affiliation

Orthopedic department, Faculty of medicine, Zagazeg University, Egypt

Email

taelhewala06@gmail.com

City

-

Orcid

0000-0001-5157-6673

Volume

30

Article Issue

1.2

Related Issue

45958

Issue Date

2024-02-01

Receive Date

2022-04-15

Publish Date

2024-02-01

Page Start

34

Page End

43

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_233862.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=233862

Order

5

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Comparing Outcomes of Displaced Distal Radius Fracture Treated by Volar Plate versus K Wire, Meta-analysis Study

Details

Type

Article

Created At

30 Dec 2024