Comparative Outcomes of Volar Locking Plate Fixation versus External Fixation in Unstable Distal Radius Fractures

Abstract

Background: Distal radius fractures that present instability frequently occur in orthopedic cases while requiring extensive clinical and economic resources for treatment. Doctors currently use two standard techniques for surgical stabilization because they involve volar locking plate fixation or external fixation. The field of implant development has made considerable progress while ongoing discussions continue on finding the most favorable method regarding fracture correction while minimizing complications. The goal of this research was to evaluate both radiological and functional results alongside adverse event occurrence when determining the effectiveness of volar locking plate fixation against external fixation for unstable distal radius fracture treatment. Methods: on this prospective comparative take a look at, 100 sufferers with unstable distal radius fractures have been randomized into two treatment groups: volar locking plate fixation (n = 50) and external fixation (n = 50). Radiographic parameters were measured preoperatively and at 6 weeks, 3 months, and six months postoperatively. useful consequences have been evaluated the use of the Disabilities of the Arm, Shoulder and Hand (dash) rating and grip strength assessments. headaches along with infection, lack of reduction, and hardware-associated troubles had been systematically recorded. Results: sufferers in the volar locking plate group established notably higher healing of radial height and volar tilt at 3 and six months (p < zero.05). Their practical results, measured via dash rankings and grip strength, had been notably advanced (p < zero.05) as compared to the external fixation organization. although each strategies yielded ideal scientific effects, outside fixation changed into related to a better occurrence of pin tract infections and not on time recuperation of wrist feature. Conclusion: Volar locking plate fixation supplied a more favorable radiological and practical healing profile in unstable distal radius fractures, with fewer headaches than outside fixation. nonetheless, outside fixation stays a possible alternative in unique situations, specifically in which inner fixation is contraindicated. in addition massive-scale, long-term research are warranted to refine treatment algorithms and optimize patient care.