Comparative Study between Internal Spanning Plate Distraction and External Fixation Distraction in the Treatment of Comminuted Distal Radius Fractures
Henawy, A., Mahmoud Hassan, M., Samaan, S., ElSherif, M. (2025). Comparative Study between Internal Spanning Plate Distraction and External Fixation Distraction in the Treatment of Comminuted Distal Radius Fractures. EKB Journal Management System, (), -. doi: 10.21608/eoj.2025.360169.1010
Ayman Tawfik Henawy; Mohamed Tarek Mahmoud Hassan; Sam Samir Samaan; Mahmoud ElSherif. "Comparative Study between Internal Spanning Plate Distraction and External Fixation Distraction in the Treatment of Comminuted Distal Radius Fractures". EKB Journal Management System, , , 2025, -. doi: 10.21608/eoj.2025.360169.1010
Henawy, A., Mahmoud Hassan, M., Samaan, S., ElSherif, M. (2025). 'Comparative Study between Internal Spanning Plate Distraction and External Fixation Distraction in the Treatment of Comminuted Distal Radius Fractures', EKB Journal Management System, (), pp. -. doi: 10.21608/eoj.2025.360169.1010
Henawy, A., Mahmoud Hassan, M., Samaan, S., ElSherif, M. Comparative Study between Internal Spanning Plate Distraction and External Fixation Distraction in the Treatment of Comminuted Distal Radius Fractures. EKB Journal Management System, 2025; (): -. doi: 10.21608/eoj.2025.360169.1010

Comparative Study between Internal Spanning Plate Distraction and External Fixation Distraction in the Treatment of Comminuted Distal Radius Fractures

The Egyptian Orthopaedic Journal
Articles in Press, Accepted Manuscript, Available Online from 12 May 2025  XML
Document Type: Original Article
DOI: 10.21608/eoj.2025.360169.1010
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Authors
Ayman Tawfik Henawy1; Mohamed Tarek Mahmoud Hassan email orcid 2; Sam Samir Samaan3; Mahmoud ElSheriforcid 1
1Orthopedic surgery department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
2orthopedic surgery department , suez canal university , Ismalia
3orthopedic surgery department, faculty of medicine, suez canal university, Ismailia, Egypt
Abstract
Background: Fractures of the distal radius are frequently observed, especially among older people. The severity of these fractures is directly correlated with the bone mineral density of the patient, and clinical outcomes are also contingent upon this parameter.



Methods: this study was designed to compare the effects of internal distraction via the use of a spanning bridge plate and external distraction via external fixation ligamentotaxis in the treatment of comminuted distal radius fractures. This is a randomized case‒control trial involving 50 patients suffering from comminuted distal radius fractures. Twenty-five patients were managed with external fixator distraction as the standard method of treatment, and 25 patients were managed with a dorsal spanning plate as a new method of treating comminuted distal radius fractures.

Results: The pain scale score in the external distraction group ranged from 4--6, whereas in the internal distraction group, ranged from 3--4, with a highly statistically significant difference (p= <0.001). The DASH score in the external distraction group ranged from 26--43, whereas in the internal distraction group, ranged from 32--47, with a statistically significant difference (p= 0.043)
Keywords
internal; spanning; plate distraction; external; comminuted distal radius fractures
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