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They were randomised to receive either bridging external fixation with supplementary Kirschner-wire fixation or volar-locked plating with screws. Both groups were similar in terms of age, gender, hand dominance, fracture pattern, socio-economic status and medical co-morbidities. <\/jats:p><jats:p> Although the patients treated by volar plating had a statistically significant early improvement in the range of movement of the wrist, this advantage diminished with time and in absolute terms the difference in range of movement was clinically unimportant. Radiologically, there were no clinically significant differences in the reductions, although more patients with AO\/OTA (Orthopaedic Trauma Association) type C fractures were allocated to the external fixation group. The function at one year was similar in the two groups. <\/jats:p><jats:p> No clear advantage could be demonstrated with either treatment but fewer re-operations were required in the external fixation group. <\/jats:p>","DOI":"10.1302\/0301-620x.90b9.20521","type":"journal-article","created":{"date-parts":[[2008,8,31]],"date-time":"2008-08-31T21:17:38Z","timestamp":1220217458000},"page":"1214-1221","source":"Crossref","is-referenced-by-count":139,"title":["Bridging external fixation and supplementary Kirschner-wire fixation <i>versus<\/i> volar locked plating for unstable fractures of the distal radius"],"prefix":"10.1302","volume":"90-B","author":[{"given":"K.","family":"Egol","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery The New York University Hospital for Joint Diseases, 301 East 17th Street, New York, New York 10003, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The New York University Hospital for Joint Diseases, 301 East 17th Street, New York, New York 10003, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Tejwani","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The New York University Hospital for Joint Diseases, 301 East 17th Street, New York, New York 10003, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"McLaurin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The New York University Hospital for Joint Diseases, 301 East 17th Street, New York, New York 10003, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Wynn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The New York University Hospital for Joint Diseases, 301 East 17th Street, New York, New York 10003, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Paksima","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The New York University Hospital for Joint Diseases, 301 East 17th Street, New York, New York 10003, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.04.019"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bth.0000126570.82826.0a"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.10.010"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B6.19809"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80003-7"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Trumble TE, Schmitt SR, Vedder NB. 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