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Different methods of external fixation for treating distal radial fractures in adults

  1. Helen HG Handoll1,*,
  2. James S Huntley2,
  3. Rajan Madhok3

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 23 JAN 2008

Assessed as up-to-date: 1 OCT 2007

DOI: 10.1002/14651858.CD006522.pub2


How to Cite

Handoll HHG, Huntley JS, Madhok R. Different methods of external fixation for treating distal radial fractures in adults. Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD006522. DOI: 10.1002/14651858.CD006522.pub2.

Author Information

  1. 1

    University of Teesside, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, Middlesborough, Tees Valley, UK

  2. 2

    Royal Infirmary of Edinburgh, University Department of Orthopaedic Surgery, Edinburgh, UK

  3. 3

    University of Manchester, Cochrane Bone, Joint and Muscle Trauma Group, Manchester, UK

*Helen HG Handoll, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, University of Teesside, School of Health and Social Care, Middlesborough, Tees Valley, TS1 3BA, UK. h.handoll@tees.ac.uk. H.Handoll@ed.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 23 JAN 2008

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Atroshi 2006 {published and unpublished data}
  • Atroshi I. personal communication March 7 2007.
  • Atroshi I, Brogren E, Larsson G-U, Kloow J, Hofer M, Berggren A-M. Wrist-bridging versus non-bridging external fixation for displaced distal radius fractures: A randomized assessor-blind clinical trial of 38 patients followed for 1 year. Acta Orthopaedica 2006;77(3):445-53.
Hutchinson 1995 {published and unpublished data}
  • Hutchinson DT, Ewert GO. Pins and plaster versus external fixation in the treatment of unstable distal radius fractures: A randomized, prospective study [abstract]. Orthopaedic Transactions 1990;14(3):588-9.
  • Hutchinson DT, Strenz GO, Cautilli RA. Pins and plaster vs external fixation in the treatment of unstable distal radial fractures. A randomized prospective study. Journal of Hand Surgery - British Volume 1995;20(3):365-72.
Krishnan 2003 {published and unpublished data}
  • Krishnan J, Wigg AER, Walker RW, Slavotinek J. Intra-articular fractures of the distal radius: a prospective randomised controlled trial comparing static bridging and dynamic non-bridging external fixation. Journal of Hand Surgery - British Volume 2003; Vol. 28, issue 5:417-21.
  • Walker R, Wigg A, Krishnan J, Slavotinek J. Intra-articular fractures of the distal radius: A prospective randomised trial comparing bridging and non-bridging external fixation [abstract]. Journal of Bone & Joint Surgery - British Volume 2003;85 Suppl 1:27-8.
  • Wigg A, Walker R, Krishnan J. Intra-articular fractures of the distal radius: Bridging vs non-bridging external fixation [abstract]. Journal of Bone and Joint Surgery - British Volume 2001;83 Suppl 3:334-5.
  • Wigg A, Walker R, Krishnan J. Intra-articular fractures of the distal radius: Bridging vs non-bridging external fixation [abstract]. Journal of Bone and Joint Surgery - British Volume 2001;83 Suppl 4:405.
  • Wigg A, Walker R, Krishnan J. Intra-articular fractures of the distal radius: Bridging vs non-bridging external fixation [abstract]. Journal of Bone and Joint Surgery - British Volume 2002;84 Suppl 3:214.
McQueen 1996 {published data only}
  • McQueen MM, Court-Brown CM. Unstable fractures of the distal radius: a prospective randomized comparison of four treatment methods [abstract]. Orthopaedic Transactions 1997;21(2):595-6.
  • McQueen MM, Hajducka C, Court-Brown CM. Redisplaced unstable fractures of the distal radius. A prospective randomised comparison of four methods of treatment. Journal of Bone and Joint Surgery - British Volume 1996;78(3):404-9.
McQueen 1998 {published data only}
  • Casteleyn PP. Redisplaced unstable fractures of the distal radius [letter]. Journal of Bone and Joint Surgery - British Volume 1999;81(2):368.
  • McQueen MM. Non-bridging external fixation of the distal radius [abstract]. Journal of Bone and Joint Surgery - British Volume 1999;81 Suppl 2:126.
  • McQueen MM. Redisplaced unstable fractures of the distal radius. A randomised, prospective study of bridging versus non-bridging external fixation. Journal of Bone and Joint Surgery - British Volume 1998;80(4):665-9.
  • McQueen MM, Hajducka C, Court-Brown CM. Unstable fractures of the distal radius: metaphyseal versus bridging external fixation [abstract]. Orthopaedic Transactions 1997;21(2):622-3.
Moroni 2001 {published data only}
  • Moroni A, Faldini C, Marchetti S, Manca M, Consoli V, Giannini S. Fixation in osteoporotic bone using hydroxyapatite-coated tapered external fixation pins - a prospective randomized study in wrist fractures [abstract]. Journal of Bone and Joint Surgery - British Volume 2001;83 Suppl 2:228.
  • Moroni A, Faldini C, Marchetti S, Manca M, Consoli V, Giannini S. Improvement of the bone pin interface in osteoporotic bone using hydroxyaptite-coated tapered external fixation pins. A prospective randomized clinical study in wrist. 67th Annual Meeting of the American Academy of Orthopaedic Surgeons; 2000 Mar 15-19; Orlando (FL). AAOS On-Line Service, 2000:http://www.aaos.org/wordhtml/anmt2000/sciprog/099.htm (accessed 31/08/2000).
  • Moroni A, Faldini C, Marchetti S, Manca M, Consoli V, Giannini S. Improvement of the bone-pin interface strength in osteoporotic bone with use of hydroxyapatite-coated tapered external-fixation pins. A prospective, randomized clinical study of wrist fractures. Journal of Bone and Joint Surgery - American Volume 2001;83-A(5):717-21.
  • Moroni A, Marchetti S, Manca M, Consoli V, Giannini S. Fixation improvement in osteoporotic bone using hydroxyapatite-coated tapered external fixation pins: A prospective randomized study in wrist fractures [abstract]. Journal of Bone and Joint Surgery - British Volume 2001;83 Suppl 2:229.
Raskin 1993 {published data only}
  • Raskin KB, Melone CP. Unstable articular fractures of the distal radius. Comparative techniques of ligamentotaxis. Orthopedic Clinics of North America 1993;24(2):275-86.
Sommerkamp 1994 {published data only}
  • Sommerkamp TG. Unstable distal radius fractures: A prospective randomized comparison of static versus dynamic external fixation [abstract]. Orthopaedic Transactions 1990;14(1):97-8.
  • Sommerkamp TG, Seeman M, Silliman J, Jones A, Patterson S, Walker J, et al. Dynamic external fixation of unstable fractures of the distal part of the radius. A prospective, randomized comparison with static external fixation. Journal of Bone and Joint Surgery - American Volume 1994;76(8):1149-61.
Werber 2003 {published data only}
  • Werber KD, Brauer R. New management in treatment of distal radius fractures using external fixation with five pins instead of four pins [abstract]. Journal of Hand Surgery - British Volume 1999;24 Suppl 1:18.
  • Werber KD, Brauer RB, Raeder F. New management in treatment of distal radius fracture using external fixation with five pins instead of four pins [abstract]. Journal of Hand Surgery - British Volume 1997;22 Suppl 1:58.
  • Werber KD, Raeder F, Brauer RB, Weiss S. External fixation of distal radial fractures: four compared with five pins: a randomized prospective study. Journal of Bone and Joint Surgery - American Volume 2003;85-A(4):660-6.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Asche 1995 {published data only}
  • Asche G. Treatment of radius fractures with a newly developed dynamic external fixator [Die Behandlung von Speichenbruchen mit einem neu entwickelten dynamischen Bewegungsfixateur]. Zentralblatt fur Chirurgie 1995;120(12):952-8.
  • Asche G, Rader L, Jung K. The treatment of distal radius fractures with a newly developed movement fixator [abstract]. Journal of Bone and Joint Surgery - British Volume 1995;77 Suppl 2:149.
Auge 2000 {published data only}
Cardone 2006 {published data only}
  • Cardone L, Simpson H, McQueen M, Ekrol I, Muir A, McGeough J. Technique to assess the rigidity of callus bone during external fixation of distal radial fractures [abstract]. Journal of Bone & Joint Surgery - British Volume 2006;88 Suppl 3:396.
Hutchinson 2000 {published data only}
Rawes 1995 {published and unpublished data}
  • Rawes ML, Richardson JB, Hardy JRW, Dias JJ. Dynamic versus static external fixation of distal radial fractures: a prospective randomized controlled trial [abstract]. Injury 1995;26(2):140.
Stoffelen 1999 {published data only}
  • Stoffelen D, Broos P. The value of wrist arthroscopy in distal radius fractures [abstract]. Journal of Bone and Joint Surgery - British Volume 1999;81 Suppl 2:166.
Stokes 1998 {published data only}
  • Stokes H, George E. Extraarticular versus transarticular external fixation of distal radius fractures [abstract]. Orthopaedic Transactions 1998;22(2):436-7.
Tortosa 1995 {published data only}
  • Tortosa RD, Chambers T. Distal radial fractures - uni-planer or multi-planer ligamentotaxis [abstract]. Orthopaedic Transactions 1995;19(3):817.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Basdekis 2005 {published and unpublished data}
  • Basdekis G, Varitimidis S, Dailiana Z, Bargiotas K, Hantes M, Malizos KN, Jones AL, Schmidt AH. Intra-articular distal radius fractures: fluoroscopic or arthroscopic reduction? [abstract]. Annual Meeting of the American Academy of Orthopaedic Surgeons; 2006 March 22-26: Chicago (IL). AAOS On-Line Service, 2006:http://www3.aaos.org/education/anmeet/anmt2006/podium/podium.cfm?Pevent=075 (accessed 13/09/06).
  • Basdekis G, Varitimidis S, Dailiana Z, Hantes M, Bargiotas K, Malizos K. Intraarticular distal radius fractures: fluoroscopic or arthroscopic reduction? [abstract]. Journal of Hand Surgery - British Volume 2005;30 Suppl 1:7.
  • Basdekis GK, Varitimidis S, Dailiana ZH, Hantes ME, Bargiotas K, Malizos KN. Intra-articular distal radius fractures: fluoroscopic or arthroscopic reduction? [abstract]. Journal of Bone & Joint Surgery - British Volume 2006;88 Suppl 1:187.
Hove 2005 {published data only}
  • Hove LM, Helland P, Finsen V, Revheim K, Molster AO. Dynamic versus static external fixation of fractures of the distal radius. A prospective, randomized, multicentre study [abstract]. Journal of Hand Surgery - British Volume 2005;30 Suppl 1:8-9.
  • Hove LM, Helland P, Molster AO. Dynamic traction for unstable fractures of the distal radius. Journal of Hand Surgery - British Volume 1999;24(2):210-4.
McQueen 2006 {unpublished data only}
  • McQueen M. External fixation with percutaneous pinning versus non-spanning external fixation verus open reduction with locked volar plate fixation for unstable distal radius fractures - a prospective randomised study. In: The National Research Register, Issue 3, 2006. Oxford: Update Software.
Tornetta 2005 {published data only}
  • Einhorn TA, Creevy WR, Levin R, Siegel J, Sung J, Tornetta PI. Reuse of external fixation components: A prospective randomized trial [abstract]. Annual Meeting of the American Academy of Orthopaedic Surgeons; 2006 March 22-26: Chicago (IL). AAOS On-Line Service, 2006:http://www3.aaos.org/education/anmeet/anmt2006/podium/podium.cfm?Pevent=P278 (accessed 13/09/06).
  • Tornetta P. personal correspondence March 13 2007.
  • Tornetta PI, Einhorn TA, Creevy WR, Levin R, Siegel J, Sung J. Reuse of external fixation components: A prospective randomized trial [abstract]. Orthopaedic Trauma Association Annual Meeting Oct 20-25 2005, Ottawa, Ontario. 2005:http://www.hwbf.org/ota/am/ota05/otapa/OTA050306.htm (accessed 25/01/2006).

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Altissimi 1986
  • Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long-term results of conservative treatment of fractures of the distal radius. Clinical Orthopaedics and Related Research 1986;(206):202-10.
Altman 2003
Amadio 2001
  • Amadio PC. Outcome assessment in hand surgery and hand therapy: an update. Journal of Hand Therapy 2001;14(2):63-7.
Andersen 1996
  • Andersen DJ, Blair WF, Steyers CM Jr, Adams BD, el Khouri GY, Brandser EA. Classification of distal radius fractures: an analysis of interobserver reliability and intraobserver reproducibility. Journal of Hand Surgery - American Volume 1996;21(4):574-82.
Atkins 1989
Atkins 2004
Belsole 1993
BMJ 2006
  • A guide to the text. Clinical Evidence Online http://www.clinicalevidence.com/ceweb/about/guide.jsp (accessed 24 March 2006).
Capo 2006
  • Capo JT, Swan KG Jr, Tan V. External fixation techniques for distal radius fractures. Clinical Orthopaedics and Related Research 2006;445:30-41.
Chitnavis 1999
  • Chitnavis J. The wrist. In: Pynsent PB, Fairbank JC, Carr AJ editor(s). Classification of musculoskeletal trauma. Oxford: Butterworth Heinemann, 1999:146-70.
Cooney 1980
Cooney 1993
Cummings 1985
Fernandez 1996
  • Fernandez DL, Jupiter JB. Fractures of the distal radius. A practical approach to management. 1st Edition. New York: Springer-Verlag, 1996.
Fernandez 1999
  • Fernandez DL, Palmer AK. Fractures of the distal radius. In: Green DP, Hotchkiss RN, Pederson WC editor(s). Green's Operative Hand Surgery. 4th Edition. New York: Churchill Livingstone, 1999:929-85.
Flinkkila 1998
  • Flinkkila T, Raatikainen T, Hamalainen M. AO and Frykman's classifications of Colles' fracture. No prognostic value in 652 patients evaluated after 5 years. Acta Orthopaedica Scandinavica 1998;69(1):77-81.
Frykman 1967
  • Frykman G. Fracture of the distal radius including sequelae--shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. A clinical and experimental study. Acta Orthopaedica Scandinavica Supplementum 1967;108:3-153.
Gartland 1951
  • Gartland JJ, Werley CW. Evaluation of healed Colles' fractures. Journal of Bone and Joint Surgery - American Volume 1951;33(4):895-910.
Handoll 2003a
  • Handoll HH, Madhok R. Surgical interventions for treating distal radial fractures in adults (Cochrane review). Cochrane Database of Systematic Reviews 2003, Issue 3.
Handoll 2003b
  • Handoll HH, Madhok R. Conservative interventions for treating distal radial fractures in adults. Cochrane Database of Systematic Reviews 2003, Issue 2. [DOI: 10.1002/14651858.CD000314]
Handoll 2003c
  • Handoll HHG, Madhok R. From evidence to best practice in the management of fractures of the distal radius in adults: working towards a research agenda. BMC Musculoskeletal Disorders 2003;4(27).
Handoll 2007
  • Handoll HHG, Huntley JS, Madhok R. External fixation versus conservative treatment for distal radial fractures in adults. Cochrane Database of Systematic Reviews 2007, Issue 3. [DOI: 10.1002/14651858.CD006194.pub2]
Higgins 2003
Higgins 2005
  • Higgins JPT, Green S, editors. Highly sensitive search strategies for identifying reports of randomized controlled trials in MEDLINE. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005]; Appendix 5b. In: The Cochrane Library, Issue 3, 2005. Chichester, UK: John Wiley & Sons, Ltd.
Jupiter 1997
Kapandji 1988
  • Kapandji IA, Epinette J-A. Colles' fracture: treatment by double intrafocal wire fixation. In: Razemon JP, Fisk GR editor(s). The wrist. Edinburgh: Churchill Livingstone, 1988:65-73.
Knirk 1986
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Kreder 1996a
  • Kreder HJ, Hanel DP, McKee M, Jupiter J, McGillivary G, Swiontkowski MF. X-ray film measurements for healed distal radius fractures [published erratum appears in J Hand Surg [Am] 1996 May;21(3):532]. Journal of Hand Surgery - American Volume 1996;21(1):31-9.
Kreder 1996b
  • Kreder HJ, Hanel DP, McKee M, Jupiter J, McGillivary G, Swiontkowski MF. Consistency of AO fracture classification for the distal radius. Journal of Bone & Joint Surgery - British Volume 1996;78(5):726-31.
Lidstrom 1959
  • Lidstrom A. Fractures of the distal end of the radius. Acta Orthopaedica Scandinavica Supplementum 1959;41:5-118.
MacDermid 2000
  • MacDermid JC, Richards RS, Donner A, Bellamy N, Roth JH. Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture. Journal of Hand Surgery - American Volume 2000;25(2):330-40.
McKay 2001
  • McKay SD, MacDermid JC, Roth JH, Richards RS. Assessment of complications of distal radius fractures and development of a complication checklist. Journal of Hand Surgery - American Volume 2001;26(5):916-22.
Melone 1993
Muller 1991
  • Muller M, Allgower M, Schneider R, Willenegger H. Manual of internal fixation: techniques recommended by the AO-ASIF Group. 3rd Edition. Berlin: Springer-Verlag, 1991.
O'Neill 2001
Older 1965
  • Older TM, Stabler EV, Cassebaum WH. Colles fracture: Evaluation and selection of therapy. Journal of Trauma 1965;5(4):469-76.
Pennig 1996
Sahlin 1990
Singer 1998
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Taleisnik 1984
Temple 2004
Van Staa 2001