Operative treatment of distal radius fractures: stabilization with Kirschner wires or plate fixation? Comparison of treatment methods based on own observations

Fractures of the distal radius are one of the most common fractures among adults. Despite, there still ongoing discussions on the choice of method of surgical treatment. Recently also emphasizes the increasing role of bone grafts in the reconstruction of the articular surface especially in compression fractures and osteoporotic fractures. The study conducted in our hospital evaluated 127 patients with the fracture of the distal radius operated between 2016-2017. Various-age-population was taken into account. Using the questionnaire developed on the basis of the Mayo scale and X-rays, the results of three treatment methods of the fractures were compared. Percutaneous fixation with K wires with plate osteosynthesis and plate osteosynthesis with the use of bone grafts was compared. The significant effect of bone quality has on the success of the treatment method has been emphasized. We drew attention to the critical meaning of the Reconstruction of the middle column for the functional outcomes. We rated the correlation of the range of motion from loss of the volar tilt and radial inclination. The frequency of neurological complications for each treatment methods was assessed. The final outcomes of different treatment methods allowed to create the algorithm for proceedings of patient’s qualification for the optimal treatment method.