{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T08:37:22Z","timestamp":1758271042271},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"1107","license":[{"start":{"date-parts":[[2017,9,5]],"date-time":"2017-09-05T00:00:00Z","timestamp":1504569600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Distal radius fractures represent about one-sixth of all fractures. There is still no consensus on the treatment of this fracture. We have several issues to assess and address; one of them is the fixation method. We tried to compare the effectiveness of two methods of stabilisation of distal radial fracture. Comparison between the techniques of Kirschner wire (K-wire) fixation with plaster and K-wire fixation with external fixation (Ex-Fix) was undertaken to assess which treatment modality gives better results in patients with distal radius fracture Frykman VII and VIII with no metaphyseal comminution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Fifty-six patients were chosen randomly and then allocated to two different modalities of stabilisation randomly as well, they were followed up; three of them were lost to follow-up because of death and two moved away from the area. Fifty-one patients were randomised in two groups: 24 were treated with K-wire and spanning Ex-Fix supplementation and 27 were treated with K-wires and plaster. Patients were prospectively monitored following the operation with a minimum follow-up of 1\u2009year. Measurement of range of motion was obtained after surgery. Visual Analogue Scale (VAS) scores for pain and satisfaction levels were also recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was statistically significant difference in favour of the Ex-Fix patient group for pain (VAS, Ex-Fix group: mean 14.9; plaster group: mean 28.1) and satisfaction (Ex-Fix group: mean 89.7;plaster group: mean 76.3). Although one would expect that range of motion would be reduced in the Ex-Fix group, there were no statistically significant differences found, with the exception of supination where results were in favour of the Ex-Fix group (mean 54.4; plaster group: mean 45.2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our study, xternal fixator (Ex-Fix) supplementation of K-wiring favoured patients with distal radius fracture, even though there was no metaphyseal comminution, and therefore is suggested in contrast to plaster supplementation.<\/jats:p><\/jats:sec>","DOI":"10.1136\/postgradmedj-2017-134953","type":"journal-article","created":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T00:40:38Z","timestamp":1504658438000},"page":"20-24","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Is external fixation a better way than plaster to supplement K-wires in non-comminuted distal radius fractures?"],"prefix":"10.1093","volume":"94","author":[{"given":"Sajjad M","family":"Athar","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Queen\u2019s Hospital, Burton-on-Trent , Burton-on-Trent, Staffordshire , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Ashwood","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Queen\u2019s Hospital, Burton-on-Trent , Burton-on-Trent, Staffordshire , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Aerealis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Queen\u2019s Hospital, Burton-on-Trent , Burton-on-Trent, Staffordshire , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory I","family":"Bain","sequence":"additional","affiliation":[{"name":"Royal Adelaide Hospital , Adelaide, South Australia , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2017,9,5]]},"reference":[{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.jhsa.2010.01.028","article-title":"Comparison between external fixation and cast treatment in the management of distal radius fractures in patients aged 65 years and older","volume":"35","author":"Aktekin","year":"2010","journal-title":"J Hand Surg Am"},{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/0266-7681(93)90160-H","article-title":"Over-distraction of the radio-carpal and mid-carpal joints following external fixation of comminuted distal radial fractures","volume":"18","author":"Biyani","year":"1993","journal-title":"J Hand Surg Br"},{"key":"2023041306504609200_","first-page":"44","article-title":"External fixation of distal radial fractures","volume":"180","author":"Cooney","year":"1983","journal-title":"Clin Orthop Relat Res"},{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1093\/milmed\/158.11.708","article-title":"Open half-pin insertion for distal radial fractures","volume":"158","author":"Eglseder","year":"1993","journal-title":"Mil Med"},{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1302\/0301-620X.99B3.35819","article-title":"Do radiological and functional outcomes correlate for fractures of the distal radius?","volume":"99-B","author":"Plant","year":"2017","journal-title":"Bone Joint J"},{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"230949901668497","DOI":"10.1177\/2309499016684976","article-title":"The relationship between radiological alignment of united distal radius fractures and functional and patient-perceived outcomes in elderly 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Surg"},{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1053\/jhsu.2000.17866","article-title":"External fixation of the distal radius: to predrill or not to predrill","volume":"25","author":"Hutchinson","year":"2000","journal-title":"J Hand Surg Am"},{"key":"2023041306504609200_","first-page":"205","article-title":"External fixation for distal radius fractures: adverse effects of excess distraction","volume":"25","author":"Kaempffe","year":"1996","journal-title":"Am J Orthop"},{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00003086-200011000-00030","article-title":"External fixation for distal radius fractures: effect of distraction on outcome","volume":"380","author":"Kaempffe","year":"2000","journal-title":"Clin Orthop Relat Res"},{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/S0363-5023(86)80045-4","article-title":"Severely comminuted distal radial fracture as an unsolved problem: complications associated with external fixation and pins and plaster techniques","volume":"11","author":"Weber","year":"1986","journal-title":"J Hand Surg Am"},{"key":"2023041306504609200_","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1053\/jhsu.2000.jhsu025a0019","article-title":"Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years","volume":"25","author":"Young","year":"2000","journal-title":"J Hand Surg Am"}],"container-title":["Postgraduate Medical 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