{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T20:58:52Z","timestamp":1769201932699,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:00:00Z","timestamp":1692835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Open reduction and internal fixation (ORIF) is the standard treatment of unstable Colles fracture among the elderly. Modified percutaneous K\u2010wire fixation is becoming increasingly popular in recent years. However, there is controversy concerning its appropriate use. This study aimed to compare the early safety and efficacy of the two different treatments and provide an alternative method for the treatment of unstable Colles fracture among the older population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Electronic medical records of 60 consecutive unstable Colles fractures patients who underwent surgery from June 2019 to October 2021, by modified percutaneous K\u2010wire fixation (30 patients) or ORIF (30 patients), were reviewed retrospectively. All cases were followed up for 3\u2009months. The outcomes of patients were assessed with operation time, intraoperative blood loss, visual analog score (VAS) for wrist joint pain, palmar tilt (PT), radial inclination (RI), radial height (RH), Gartland\u2013Werley score, total hospitalization costs, hospital stays, postoperative complications, and patient subjective satisfaction. General patient information was also collected.<\/jats:p><jats:p>Independent Student's <jats:italic>t<\/jats:italic>\u2010test or Mann\u2013Whitney <jats:italic>U<\/jats:italic> test were used to compare continuous data. Pearson's chi\u2010square test or Fisher's exact test were used to analyze the categorical data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The operation time and intraoperative blood loss were significantly shorter in the K\u2010wire group than in the ORIF group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Compared with the ORIF group, the VAS of the K\u2010wire group was significantly lower at 1 and 3\u2009days postoperatively (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), and no significant differences were observed in VAS between the two groups preoperatively and 7\u2009days postoperatively (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). There were no significant differences in the PT, RI, and RH between the two groups preoperatively and at 1, 4, and 8\u2009weeks postoperatively (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). Patients in the K\u2010wire group had significantly shorter hospital stays and lower total hospital costs (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). All patients were followed up for 3\u2009months, and there was no significant difference in the Gartland\u2010Werley score between the two groups (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). Compared with the ORIF group, postoperative complications were lower, and patient subjective satisfaction was higher in the K\u2010wire group, but there were no significant differences (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Modified percutaneous K\u2010wire fixation in the treatment of unstable Colles fracture among the elderly is a safe, effective, rapid, and minimally invasive surgical option for surgeons.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13847","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T03:15:14Z","timestamp":1692933314000},"page":"2621-2626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of Modified K\u2010wire Fixation with Open Reduction and Internal Fixation (<scp>ORIF<\/scp>) for Unstable Colles Fracture in Elderly Patients"],"prefix":"10.1111","volume":"15","author":[{"given":"Lin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Orthopedics The Third Affiliated Hospital of Shenzhen University  Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haoming","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Third Affiliated Hospital of Shenzhen University  Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Shenzhen Luohu District Hospital of Traditional Chinese Medicine  Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3506-9177","authenticated-orcid":false,"given":"Jingti","family":"Jing","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Third Affiliated Hospital of Shenzhen University  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