20 Jan Wrist Fractures: Study Compares Casting to Surgical Fixation
MedicalResearch.com Interview with:
Prof. Matthew Costa
Professor of Orthopaedic Trauma
University of Oxford
Honorary Consultant Trauma Surgeon,
John Radcliffe Hospital, Oxford
MedicalResearch.com: What is the background for this study?
Response: Fixation with metal implants provides reliable functional outcomes for patients after a manipulation of a displaced fracture of the distal radius, but such surgery carries risk for the patient and is expensive.
A moulded plaster cast is a safer and cheaper intervention but may not provide the same functional outcome.
It is not known which of these treatments is superior.
MedicalResearch.com: What are the main findings?
Response: Surgical fixation with K-wires did not improve patients’ wrist function at one year compared with casting following manipulation of a fracture of the distal radius.
However, one in eight patients treated with a moulded cast required later surgery for loss of fracture position in the first six weeks after their injury.
MedicalResearch.com: What further research on this topic do you recommend?
- What is the optimal technique for immobilisation of a dorsally displaced distal radius fracture that does not require manipulation to achieve reduction?
- What is the optimal techniques for immobilisation of a dorsally displaced distal radius fracture following a manipulation of the fracture?
- What is the optimal technique for providing pain relief to patients who require a reduction of a dorsally displaced distal radius fracture?
- What is the optimal regime for rehabilitation of the patient after immobilisation of their wrist for a fracture of the distal radius?
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Last Updated on January 20, 2022 by Marie Benz MD FAAD