Radiological outcomes following surgical fixation with wires versus moulded cast for patients with a dorsally displaced fracture of the distal radius: a radiographic analysis from the DRAFFT2 trial.
Caroline E PlantAlexander OomsJonathan Alistair CookMatthew Lee Costanull nullMelina DritsakiHelen DakinJonathan JonesAndrew MckeeKevin SmithMohamed HamadtoSteve GwilymTim ChesserJaime Candal-CoutoCaroline HingDavid GiddinPhil JohnstonAamer UllahJohn WilliamsWill EardleyMakaram SrinivasanSridharrao SampalliMark FarrarChris RobertsKhitish MohantyIain MacLeodPraveen SardaAmr ElseehyNigel RossiterDavid WarwickChris PeachDavid MacKayRichard BensonAdam WattsJonathan YoungFeisal ShahStephen LipscombeAaron NgCharalambos P. CharalambousBarnaby SheridenKanthan TheivendranPulimamidi SanjayRajesh NandaAntony BatemanMichael ButlerOliver Keast-ButlerAndrew McAndrewWystan ChevannesPradeep KankanaluAsanka WijendraAndreas FontalisHytham AfifiMarie-Clare KillenRyan HigginWarran WignadasanKen WongCatherine GibsonHarry BealeBob JenningsJames KennedyMark WilliamsonDamir RasidovicLydia JennerJohn B TadrosSteve MilnerJames DuncanSally KerrLouise NordinMatt WestonOlivia PaytonTofi OniCraig ZhaoSukhdeep GillMohammad IqbalMarie-Clare KillenKhaled AneibaWarran WignadasanDilip PillaiLuke HughesJonathan CrosbyMike WhitehouseThomas CorbettArshad IqbalSteph BuchanLaura BeddardVenkat VardhanBecky BeamishMatt JonesJonathan HolleyRebecca MorrellRobin LernerKylea DraperPublished in: Bone & joint open (2024)
For patients with a dorsally displaced distal radius fracture treated with a closed manipulation, surgical fixation with wires leads to less dorsal angulation on radiographs at six weeks compared with patients treated in a moulded plaster cast alone. However, the difference in dorsal angulation was small and did not correlate with patient-reported pain and function.