COMPARISON BETWEEN VOLAR LOCKING PLATE AND PERCUTANEOUS K-WIRE FIXATION IN THE MANAGEMENT OF EXTRA-ARTICULAR DISTAL RADIUS FRACTURES

Abstract

INTRODUCTION AND BACKGROUND:Extra-articular distal radius fractures constitute a significant proportion of upper limb injuries, yet optimal management for unstable variants remains debated. This study aimed to compare functional and radiological outcomes of volar locking plate (VLP) fixation versus percutaneous K-wire fixation in treating unstable extra-articular distal radius fractures.AIM OF THE WORKThe aim of this study was to compare the outcome of volar locking plate versus percutaneous K-wire fixation in the management of extra-articular distal radius fractures.METHODS:A prospective randomized trial was conducted on 40 patients aged 20–65 years presenting with unstable extra-articular distal radius fractures at El-Hadra University Hospital between March 2024 and February 2025. Patients were randomized into two equal groups: Group A received volar locking plate fixation, and Group B underwent percutaneous K-wire fixation. Indications for surgery included dorsal angulation >10°, radial shortening >3 mm, metaphyseal comminution, or radiocarpal malalignment. Outcomes were assessed using the QuickDASH, Modified Mayo Wrist Score (MMWS), Visual Analogue Scale (VAS), grip strength, and range of motion (ROM). Radiographic evaluation included time to union, radial length, radial inclination, and palmar tilt. Patients were followed for six months postoperatively.