OBJECTIVES: To compare the functional outcome and the complications of plaster cast & orthofix
in the management of distal radius fracture.
SETTING: Department of orthopaedic surgery & truamatology (DOST) Liaquat University of
Medical & Health Sciences (LUMHS) Jamshoro.
STUDY DESIGN: Comparative Study.
DURATION OF STUDY: 18 months from 2nd March 2012 to 1st September 2013.
MATERIAL & METHODS: A total of 40 patients fulfilled the inclusion criteria were included in
this study. Patients were randomized allocating to either treatment with conventional closed
method (group I) or orthofix (group II). After one week of the initial treatment, patients of either
group were followed in the orthopaedic wards and OPD. Clinical and radiological assessment
was carried out and recorded. Subsequently, patients were advised for follow up for six weeks.
After removal of either plaster or orthofix; patient was reviewed at monthly interval to access
the wrist function. Data was collected on Performa.
RESULTS: There were statistically significant differences between the orthofix group and plaster
cast group on the average, regarding radial length, radial angle, palmar tilt, p value was calculated
0.05, 0.004 and 0.0005 respectively.
All patients in orthofix group achieved union and maintained good reduction after closed reduction
of the fracture. Complications were seen among both the groups; Mal-union, Stiff hand and
Non union, Pressure sore, Shoulder stiffness were not significant between groups.
CONCLUSION: it is concluded from this study that external fixator one of the best tool have
over edge on plaster cast in the treatment of distal radius fracture.
Plaster cast, Orthofix, distal radial fractures