Fracturas del extremo distal del radio: resultados funcionales y radiográficos de 2 técnicas diferentes

Objective

The objective of our study was to compare the functional and radiographic behavior of fractures treated with percutaneous threaded needles with those treated by open reduction, internal fixation with fixed angle volar plates for the same type of fracture according to AO classification.

Material and methods

A prospective, analytical, comparative study was performed in 68 patients with fractures of the distal radius, 34 with the technique of percutaneous intrafocal thread (Group A) and 34 with fixed angle (Group B). 59% (20) of the patients in Group A and 76% (26) of Group B were female. The average age of Group A was 49 years and that of Group B was 55 years. A descriptive and inferential analysis was performed using Fisher's test t, Fisher's exact test and mixed linear model.

Results

In the “Radio-Cubital” difference and “radial inclination” the value was lower for the percutaneous intrafocal thread method, at 3 and 6 months, as was the “Flexo-Extension”. The closure force was lower for the percutaneous intrafocal thread method, at 3 months, and there were no differences between the two methods at 6 months.

Conclusions

RAFI recovery is earlier with a better radiographic result, without finding functional differences at 6 months; The treatment is indicated according to the experience and familiarity of the surgeon since both techniques achieve good results.

Level of Evidence

II.