HEFT Repository

Cast Immobilisation versus Wire Fixation in the Management of Middle-aged and Elderly Patients with Distal Radius Fractures.

Jordan, Robert Warner and Naeem, Rahil and Jadoon, Saqiba and Parsons, Helen and Shyamalan, Gunaratnam (2016) Cast Immobilisation versus Wire Fixation in the Management of Middle-aged and Elderly Patients with Distal Radius Fractures. The journal of hand surgery Asian-Pacific volume, 21 (1). pp. 18-23. ISSN 2424-8363. This article is available to all HEFT staff and students via ASK HEFT Discovery tool http://tinyurl.com/z795c8c using their Athens Login

Full text not available from this repository.
Official URL: http://www.worldscientific.com/doi/abs/10.1142/S24...

Abstract

BACKGROUND

Distal radius fractures are common and traditionally these injuries are treated non-operatively. Percutaneous wiring has been recommended as simple method to provide extra stability in distal radius fractures but their exact role is uncertain. The aim of this study was to retrospectively compare the radiographic and functional outcomes following cast immobilisation and those following wire fixation in the management of distal radius fractures and investigate which method produced better outcomes.

METHODS

A retrospective parallel case series was performed between April 2011 and April 2013 of patients over 50 years treated with either cast immobilisation or wire fixation. Both intra- and extra-articular fractures were included. Radiographic measurements were made pre-operatively and at three months follow up. The QuickDASH was recorded by postal questionnaire at a mean of 2 years.

RESULTS

159 patients were included; 85 cast immobilisation group and 74 wire fixation group. Improvement in radiological parameters was seen in both groups but this was significantly better after wire fixation ([Formula: see text]). QuickDASH scores were available in 64%; no significant difference in mean scores was seen after (p = 0.147); cast immobilisation 27.1 and wire fixation 26.6.

CONCLUSIONS

Cast immobilisation can produce comparable functional results to wire fixation despite worse radiological outcomes.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK HEFT Discovery tool http://tinyurl.com/z795c8c using their Athens Login
Subjects: WE Musculoskeletal. Orthopaedics
Divisions: Planned IP Care > Trauma and Orthopaedics
Related URLs:
Depositing User: Mrs Caroline Tranter
Date Deposited: 03 Feb 2017 12:31
Last Modified: 03 Feb 2017 12:31
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1169

Actions (login required)

View Item View Item