Comparison of volar locking plates with external fixation and K-wires in arthroscopically assisted intra-articular distal radial fracture fixation

Uldis Krustins (Coresponding Author), Janis Krustins, Diana Bringina, Kristine Laurane, Andris Jumtins

Research output: Contribution to journalArticlepeer-review


This article presents the results of a prospective cohort study that included 63 patients with intra-articular (AO Type C) distal radial fractures who were treated using an arthroscopically assisted approach with either volar locking plates or external fixator and K-wires. Postoperative analysis was carried out using X-ray assessment, clinical data, Patient-Rated Wrist Evaluation score, Gartland and Werley score, Modern Activity Subjective Survey of 2007 score, range of motion, grip, pinch and tripod pinch assessment at 1, 3, 6 and 12 months postoperatively. Despite the statistically significant differences found in a number of parameters during the period of observation, there were no clinically relevant differences determined between the two methods. There was a greater number of complications in the external fixator and K-wire treated patients.
Original languageEnglish
Pages (from-to)333-338
JournalJournal of Hand Surgery: European Volume
Issue number4
Publication statusPublished - May 2020


  • Intra-articular distal radial fracture
  • wrist arthroscopy
  • volar locking plate
  • external fixator
  • K-wire fixation

Field of Science

  • 3.2 Clinical medicine

Publication Type

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

Cite this