Distal Radius Fracture
Conditions
Interventions
Experimental group (Integrated K-wire System)::Closed reduction and percutaneous K-wire fixation
Control group (Volar Locking Plate Internal Fixation): open reduction and locking plate fixation
Sponsors
Wendeng Orthopedics Hospital of Shandong
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age = 50 years. 2.Fresh closed distal radius fracture (injury = 14 days) classified radiologically as AO/OTA 23A3, 23B2–B3, or 23C1–C3. 3.Acceptable reduction can be obtained and maintained under fluoroscopy after closed manipulation (manual or traction, with external finger-trap distraction if necessary) under anesthesia. 4.Able to understand the study information, provide written informed consent, and guarantee 12-month follow-up.
Exclusion criteria
Exclusion criteria: 1. Open fracture (Gustilo types I–III). 2.Associated neurovascular injury requiring emergency repair. 3. Previous wrist surgery or fracture in the ipsilateral limb. 4. Pathological fracture (e.g., tumor) or severe metabolic bone disease (osteoporosis excluded). 5. Severe medical comorbidities or coagulopathy precluding surgery. 6. Concurrent ipsilateral upper-limb fractures that would interfere with functional assessment. 7. Cognitive impairment, psychiatric disorder, or inability to comply with follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disabilities of the Arm, Shoulder and Hand Score;Patient-Rated Wrist Evaluation Score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative radiographic alignment parameters;Complication rates;Intraoperative blood loss;operative time; length of hospital stay; in-patient costs;Range of Motion(ROM); | — |
Countries
China
Contacts
Public ContactJunwei Zhang
Wendeng Orthopedics Hospital of Shandong
Outcome results
None listed