Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures.

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Nuri Erdem M.

ACTA ORTHOPAEDICA BELGICA, vol.81, no.81, pp.65-71, 2015 (SCI-Expanded)

• Publication Type: Article / Article
• Volume: 81 Issue: 81
• Publication Date: 2015
• Journal Name: ACTA ORTHOPAEDICA BELGICA
• Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
• Page Numbers: pp.65-71
• İstanbul Yeni Yüzyıl University Affiliated: No

Abstract

Distal radius fractures are the most common frac-

tures in the elderly, yet the treatment is controversial

and still debated in the literature. Twenty four pa-

tients aged older than sixty with distal radial frac-

tures were treated by dorsal nail plate. We compared

them with twenty four similar matched patients treat-

ed by percutaneous Kirschner wiring surgical meth-

od . The patients were operated on by a surgeon expe-

rienced in carrying out hand surgery. The purpose of

this retrospective review was to compare the clinical

and radiological outcomes in elderly patients with

displaced distal radial fractures who were treated

with either the dorsal nail plate or percutaneous

Kirschner wiring surgical procedures. Both groups

had high union rates and low complication rates for

the treatment of displaced distal radius fractures in

elderly patients. However, better functional results

can be expected in dorsal nail plate.