Comparative analysis of adult distal radius fracture reduction in the emergency room: fluoroscopy-guided vs. non-fluoroscopy-guided approaches

The use of fluoroscopy did not demonstrate an improvement in radiographic outcomes for conventional measures of closed reduction and casting in distal radius fractures. Additionally, there was no difference in the conventional indications for surgery following the initial reduction between the two groups. These findings suggest that routine use of fluoroscopy in the ED for such fractures may need reconsideration. While fluoroscopy remains the gold standard, non-fluoroscopy-guided reduction could be a viable alternative.