Treatment of volar Barton's fractures: Comparison between two common surgical techniques

Ming Hsun Dai, Chi Chuan Wu, Hsien Tao Liu, I. Chun Wang, Chung Ming Yu, Kun Chung Wang, Chih Hwa Chen, Chi Hsiung Jung

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Volar Barton's fractures are not uncommon but more convincing treatment methods are still controversial. Currently, open reduction with buttress plating or closed reduction with external fixation and percutaneous Kirschner wire fixation have achieved most support. Methods: Twenty-three consecutive volar Barton's fractures treated with either open reduction and buttress plate fixation (12 cases) or closed reduction with external fixation and percutaneous Kirschner wire fixation (11 cases) were compared retrospectively. The fractures were followed-up for a mean of 30 months (range, 24-50 months). Results: All 23 fractures healed without major complications. The wrist function was satisfactory in all plating patients (12 out of 12) and nine out of 11 external fixation patients (p = 0.22). Conclusion: Both the above mentioned surgical techniques give a high success rate. Despite the fact that each technique has advantages and disadvantages, the results from the plating treatment seem to be superior.

Original languageEnglish
Pages (from-to)388-394
Number of pages7
JournalChang Gung Medical Journal
Volume29
Issue number4
Publication statusPublished - Jul 2006
Externally publishedYes

Keywords

  • Buttress plate
  • External fixation
  • Kirschner wire
  • Volar Barton's fracture

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Dai, M. H., Wu, C. C., Liu, H. T., Wang, I. C., Yu, C. M., Wang, K. C., Chen, C. H., & Jung, C. H. (2006). Treatment of volar Barton's fractures: Comparison between two common surgical techniques. Chang Gung Medical Journal, 29(4), 388-394.