BACKGROUND: Proposed benefits of intramedullary techniques include limited soft tissue dissection while affording sufficient stability to allow early wrist motion. The primary null hypothesis of this randomized trial was that there is no significant difference with respect to functional outcome, @entity158 and disability between @entity1 treated with either 2.4-mm volar locking plate fixation or intramedullary nail fixation of @entity7334 of the distal radius. METHODS: We conducted a single-centre, prospective randomized matched-pairs trial. @entity1 with intraarticular distal radius fractures with metaphyseal comminution and a sagittal fracture line (AO 23 @entity8030 ) were randomized to receive volar locking plate fixation (n = 14) or intramedullary nailing (n = 14). The outcome was measured on the basis of the Gartland and Werley and Castaing score; the @entity158 level; the range of wrist motion; the rate of complications; and radiographic measurements including volar tilt and ulnar variance. Clinical and radiographic assessment was performed at 8 weeks and 2 years after the operation. RESULTS: There were no significant differences between groups in terms of range of motion, grip strength or the level of @entity158 at eight weeks. At the final follow up, @entity1 in the nail group had regained more extension than in the plate group (98% of the unaffected side vs. 94%, this however, did not reach significance). Reduction was maintained in both groups; however volar tilt and ulnar variance were significantly better in the plate group. There was no significant difference in the complication rate between groups. CONCLUSION: The present study suggests that intramedullary nail fixation is a reasonable alternative to volar plate fixation for the treatment of @entity7334 and both techniques can yield reliably good results.

Fixation of XXXX of the distal radius using intramedullary nailing: a randomized trial versus palmar locking plates.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity7334 :: ('MESH:D057072', 'Disease') :: ['intra-articular fractures', 'intra-articular distal radius fractures'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity8030 :: ('79718', 'Gene') :: ['C2.1']
@entity7334 :: (MESH:D057072,Disease) :: ['intra-articular fractures']
