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Cast versus external fixation: a comparative study in elderly osteoporotic distal radial fracture patients
Moroni A, Vannini F, Faldini C, Pegreffi F, Giannini S
Scandinavian Journal of Surgery 2004;93(1):64-67
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: This study compared fracture treatment with plaster cast versus external fixation. METHODS: Forty elderly female osteoporotic wrist fracture patients were randomized to be treated with either plaster cast (group A) or external fixation (group B). Bone mineral density less than -2.5 T-score was among the inclusion criteria. RESULTS: In group A, four redisplacements occurred, whereas in group B there were none (p = 0.005). Horesh score was higher in group B (p < 0.006) than in group A. Volar angle deformity (p < 0.0005) and radial angle deformity (p = 0.008) were lower in group B. CONCLUSIONS: This study shows that external fixation improves stability in elderly osteoporotic wrist fracture patients.

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