External Fixation Vs. Volar Plate for Distal Radius Fractures: Functional Outcomes

External Fixation Versus Volar Locking Plate for Unstable Intraarticular Distal Radius Fractures: a Prospective Comparative Study of the Functional Outcomes

The goal of this prospective comparative clinical trial is to evaluate the effectiveness of external fixation versus volar locking plates in the management of unstable intra-articular distal radius fractures in adults over 18 years old. The main questions it aims to answer are:

Does the use of a volar locking plate result in better functional outcomes, as measured by the Green and O'Brien scoring system modified by Cooney, compared to external fixation? What are the differences in intraoperative and postoperative parameters, including complications, between the two methods? Researchers will compare outcomes in two groups: one receiving external fixation and the other undergoing open reduction and internal fixation with volar locking plates.

Participants will:

Undergo surgical intervention (external fixation or ORIF with volar plates) performed by experienced orthopedic surgeons.

Follow a postoperative rehabilitation plan, including active and passive range of motion exercises.

Attend follow-ups at 6, 12, and 24 weeks to assess pain, range of motion, fracture union, and complications.

Inclusion Criteria:

• Patients aged 18 years or older.
• Diagnosed with recent (<1 week) intra-articular distal end radius fractures.
• Willing and able to provide informed consent.

Exclusion Criteria:

• Open fractures classified as Gustilo grade II or higher.
• Fracture avulsion or dislocation.
• Vascular injury associated with the fracture.
• Extra-articular fractures of the distal radius.
• Preexisting joint or carpal bone disease affecting rehabilitation.
• Patients unwilling to provide consent.