TY  - JOUR
TI  - COMPARISON OF EXTERNAL FIXATION AND PLASTER CASTING RESULTS IN DISTAL RADIUS METAPHYSIS FRACTURES THAT ARE NOT SUITABLE FOR OPEN REDUCTION
AB  - Objective: We aimed to compare the radiographic and functionalresults of extra-articular metaphyseal fractures of the distal radiustreated with closed reduction and plaster casting (CRPC) andbridging external fixation (EF).Material and Methods: This retrospective study included 65patients with distal radius fractures. The mean age of the patientswas 55 years. Patients were divided into two groups, which werecalled the CRPC group and bridging EF group. All fractures wereAO/OTA type A3. All patients were evaluated with Green andO'Brien Score modified by Cooney, Mayo Wrist Score and TheDisabilities of the Arm, Shoulder, and Hand (DASH) at the endof the first year.Results: The mean age was 54.32±8.61 years in the CRPC groupand 56.65±8.31 years in the Bridging EF group. The mean followup time was 24.06±8.67 months in the CRPC group and24.88±9.2 months in the bridging EF group. When the fractureswere compared radiologically during the evaluation at the end ofthe first year, radial inclination and radial length results in thebridging EF group were statistically significant compared to theCRPC group. When the range of motions was compared in thefractures during the clinical examination, they were statisticallysignificant in the bridging EF group compared to the CRPCgroup. There was no statistical significance in Green and Mayoscores in terms of the scoring between the groups. DASH scorewas 10.88±2.99 in the CRPC group and 5.73±2.57 in the bridgingEF group, and it was statistically significant (p<0.001).Conclusion: Bridging EF treatment can be recommended as oneof the primary treatment options in AO/OTA type A3 radiusfractures, whose soft tissue does not allow open surgery, becauseit is a less invasive technique and provides successful clinicalresults.
AU  - Öner, Kerim
AU  - Ayas, Muhammet Salih
DO  - 10.24938/kutfd.895219
PY  - 2021
JO  - Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
VL  - 23
IS  - 2
SN  - 2148-9645
SP  - 270
EP  - 278
DB  - TRDizin
UR  - http://search/yayin/detay/454199
ER  -