External Fixation Versus Internal Fixation for Unstable Distal Radius Fractures: A Systematic Review and Meta-Analysis of Comparative Clinical Trials
Journal of Orthopaedic Trauma, 06/29/2012
Evidence Based Medicine
Wei DH et al. – For surgical fixation of unstable distal radius fractures, open reduction and internal fixation (ORIF) yields significantly better functional outcomes, forearm supination, and restoration of anatomic volar tilt. However, external fixation results in better grip strength, wrist flexion, and remains a viable surgical alternative.