Volar Plate Versus Kirschner-Wire Fixation in Intra-Articular Fracture of Distal Radius.

BACKGROUND

Fractures of the distal radius are common and increasing in incidence due to osteoporosis and high-risk sporting activities. This study aims to compare the clinical, functional, and radiological outcomes of intra-articular distal radius fractures treated with volar plating versus Kirschner-wire (K-wire) fixation.

METHODS

A prospective randomized study was conducted on 50 patients with intra-articular distal radius fractures. Patients were divided into two groups: 25 treated with volar plating and 25 with K-wire fixation. Outcomes were assessed using the MAYO wrist score, DASH score, range of motion, grip strength, and radiological evaluation.

RESULTS

The mean time to union was significantly shorter in the plating group (6.72 weeks) compared to the K-wire group (8.64 weeks; P = 0.04). The plating group had better functional outcomes with higher MAYO scores (87.8 vs. 73.6; P = 0.001) and lower DASH scores (7.86 vs. 13.94; P = 0.03). Radiological parameters and grip strength were also significantly improved in the plating group.

CONCLUSION

Volar plating provides superior functional and radiological outcomes compared to K-wire fixation in treating intra-articular distal radius fractures, especially in patients with complex fractures.