Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: A RANDOMISED, CONTROLLED TRIAL

H. J. Kreder; D. P. Hanel; J. Agel; M. McKee; E. H. Schemitsch; T. E. Trumble; D. Stephen

doi:10.1302/0301-620X.87B6.15539

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Trauma

Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius

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Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius

Kreder HJ, Hanel DP, Agel J, et al. Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius. J Bone Joint Surg Br. 2005;87-B(6):829-836. doi:10.1302/0301-620X.87B6.15539

Kreder, H. J., et al. “Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius.” The Journal of Bone & Joint Surgery British Volume, vol. 87-B, no. 6, 2005, pp. 829-836., https://doi.org/10.1302/0301-620X.87B6.15539

Kreder, H. J., Hanel, D. P., Agel, J., McKee, M., Schemitsch, E. H., Trumble, T. E., & Stephen, D. (2005). Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius. The Journal of Bone & Joint Surgery British Volume, 87-B(6), 829-836. https://doi.org/10.1302/0301-620X.87B6.15539

Kreder, H. J., Hanel, D. P., Agel, J., McKee, M., Schemitsch, E. H., Trumble, T. E. et al. (2005) “Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius.” The Journal of Bone & Joint Surgery British Volume, 87-B(6), pp. 829-836. Available at: https://doi.org/10.1302/0301-620X.87B6.15539

Kreder, H. J., D. P. Hanel, J. Agel, M. McKee, E. H. Schemitsch, T. E. Trumble, and D. Stephen. “Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius.” The Journal of Bone & Joint Surgery British Volume 87-B, no. 6 (2005): 829-836. https://doi.org/10.1302/0301-620X.87B6.15539

Kreder HJ, Hanel DP, Agel J, McKee M, Schemitsch EH, Trumble TE, et al. Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius. J Bone Joint Surg Br. 2005 Jun 1;87-B(6):829-836. https://doi.org/10.1302/0301-620X.87B6.15539

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Abstract

A total of 179 adult patients with displaced intra-articular fractures of the distal radius was randomised to receive indirect percutaneous reduction and external fixation (n = 88) or open reduction and internal fixation (n = 91). Patients were followed up for two years. During the first year the upper limb musculoskeletal function assessment score, the SF-36 bodily pain sub-scale score, the overall Jebsen score, pinch strength and grip strength improved significantly in all patients. There was no statistically significant difference in the radiological restoration of anatomical features or the range of movement between the groups.

During the period of two years, patients who underwent indirect reduction and percutaneous fixation had a more rapid return of function and a better functional outcome than those who underwent open reduction and internal fixation, provided that the intra-articular step and gap deformity were minimised.

Correspondence should be sent to Dr J. Agel; e-mail: agelx001@umn.edu

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Journal

The Journal of Bone & Joint Surgery British Volume

Volume

87-B No.6 | Pages 829 - 836

Section

Trauma

Published

01 June 2005

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H. J. Kreder

Associate Professor

Division of Orthopaedics, University of Toronto, Sunnybrook & Women’s College, Health Sciences Centre, MG365, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.

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D. P. Hanel

Professor

Department of Orthopaedics, Harborview Medical Center, ZA-48, 325-9th Avenue, Seattle, Washington 98104, USA.

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J. Agel

Research Coordinator

Department of Orthopaedics, Harborview Medical Center, ZA-48, 325-9th Avenue, Seattle, Washington 98104, USA.

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M. McKee

Associate Professor

Division of Orthopaedics, University of Toronto, St. Michael’s Hospital, 55 Queen Street, Suite 800, Toronto, Ontario M5C 1R6, Canada.

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E. H. Schemitsch

Professor

Division of Orthopaedics, University of Toronto, St. Michael’s Hospital, 55 Queen Street, Suite 800, Toronto, Ontario M5C 1R6, Canada.

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T. E. Trumble

Professor

Department of Orthopaedics, Harborview Medical Center, ZA-48, 325-9th Avenue, Seattle, Washington 98104, USA.

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D. Stephen

Assistant Professor

Division of Orthopaedics, University of Toronto, Sunnybrook & Women’s College, Health Sciences Centre, MG365, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.

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Trauma

Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius

A RANDOMISED, CONTROLLED TRIAL

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Trauma

Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius

A RANDOMISED, CONTROLLED TRIAL

Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius

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