Oblique T-plate fixation vs. external fixator combined with Kirschner wire for treatment of type C distal radius fractures

Objective To compare and analyze the efficacy of oblique T-plate fixation and external fixation with limited open local Kirschner wire fixation for treatment of type C distal radial fractures. Methods From January 2006 to June 2013, 44 cases of type C distal radius fractures were treated by the oblique T-plate fixation and external fixation with limited open local Kirschner respectively. Results All patients were followed for 12 to 18 months after operation(average 16.5 months). Twelve months after operation, according to Gartland-Werley evaluation of distal radius fracture postoperative efficacy criteria: the internal fixation and external fixation group, the excellent and good rate was 81.0%(17/21), 82.6%(19/23); The complication rate was 9.52%(2/21), 13.04%(3/23), the difference was not statistically significant(P 0.05). Six months after internal fixation group palmar angle ulnar deviation were significantly better than the external fixation group. The difference was statistically significant(P 0.05). Conclusion Oblique T plate fixation of group has better imaging outcomes with a reliable fixation,but both of the groups can achieve satisfactory clinical results.For long-term efficacy, optional external fixation with Kirschner wire fixation hasadvantages such as less trauma, quicker recovery, lower cost, easier to operate.