Evaluating surgical treatment options for distal radius fractures: A clinical and radiographic study

Background: Distal radius fractures (DRFs) are a common injury in orthopedic treatment, usually addressed with immobilization using a cast or brace. However, this approach can result in unsatisfactory outcomes. As a result, surgical treatment options such as plating, external fixation, and pinning have become increasingly popular, but the effectiveness of these methods requires evaluation. This study aimed to compare the clinical and radiographic outcomes of three specific surgical treatments—plating, external fixation, and pinning—among patients with DRFs. Methods: In this prospective study, 50 patients meeting the inclusion and exclusion criteria underwent clinical and radiographic evaluations, including assessments of wrist range of motion, grip strength, fine motor skills, pain, and neurovascular examination. Data were collected at three time points: immediately post-surgery, 4-6 weeks post-surgery, and six months post-surgery. Medical records of hospitalized and operated patients were gathered. Results: The study evaluated the clinical and radiographic outcomes of treating DRFs involving the volar lunate facet with pins, plates, and external fixators using the Fernandez and Dai Punch classification. The study included 50 patients, with a mean age of 45.24 ± 1.78 years and complete follow-up. The results showed no significant correlation between surgical technique and gender. The patients were categorized into two age groups, with the younger group predominantly male. The study investigated medical history and fracture classification. Clinical interventions involved various surgical techniques, and the Fernandez and Dai Punch classifications were used to classify fractures. The study also evaluated the selection of treatment devices for DRFs and assessed the range of wrist motion. Conclusion: This study found no significant difference in clinical outcomes based on the type of surgical treatment method used for patients with radius fractures. Complications associated with treatment methods were reported but were relatively rare. Clinical and radiographic outcomes showed no significant differences based on gender or age. The study provides valuable information for clinicians and patients to aid in making informed treatment decisions.