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Journal of Hand Surgery (European Volume)
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A Randomised Clinical Study Comparing Palmar and Dorsal Fixed-Angle Plates for the Internal Fixation of AO C-Type Fractures of the Distal Radius in the Elderly

R. G. JAKUBIETZ
J. G. GRUENERT
D. F. KLOSS
S. SCHINDELE
M. G. JAKUBIETZ

From the Department of Hand, Plastic and Reconstructive Surgery, Kantonsspital St. Gallen, Switzerland

Correspondence: Rafael G. Jakubietz, MD, Department of Hand-, Plastic and Reconstructive Surgery, Kantonsspital St. Gallen, Rorschacherstr 95, CH-9007 St. Gallen, Switzerland. Tel.: +41714941393; fax: +41714946343. E-mail: rafael.jakubietz{at}kssg.ch.

Current surgical treatments for distal radial fractures include dorsal and palmar plate fixation. We report results of a randomised study comparing these methods for AO C1–3 fractures. The emphasis was placed on the early postoperative functional recovery within the first 6 months as this interval is of decisive importance for elderly patients. Thirty patients with unilateral AO C1–3 fractures were enroled, 15 were treated with a palmar plate and 15 received a dorsal Pi-plate. Results were assessed 6 weeks, 3 months and 6 months postoperatively focusing on functional recovery. The palmar plate group demonstrated significantly better results in range of motion, grip strength and pain.

Key Words: distal radius fractures • dorsal Pi-plate • angular stability • randomised clinical study • palmar plate

Journal of Hand Surgery (European Volume), Vol. 33, No. 5, 600-604 (2008)
DOI: 10.1177/1753193408094706
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