To assess the outcome of distal radius fractures treated with locking compression plate and external fixator.
Methods: 40 patients with fracture of distal radius were included in this study. Out of 40, 20 patients underwent open reduction and volar locking compression plate fixation and 20 patients underwent closed reduction and external fixation on random basis. The Demerit scoring system was used to assess the outcome of both groups. The average follow up period was 6 months.
Results: Using Demerit scoring system of Gartland and Werley, the plate group had 9(45%) excellent, 9(45%) good, 2(10%) fair and no poor results and the external fixator group had 1(5%) excellent, 9(45%) good, 8(40%) fair and 2(10%) poor results. In plate group, 1 patient had tendon irritation. In external fixator group, 2 patients had pin tract infection and 1 patient had pin loosening.
Conclusion: Open reduction and volar locking compression plate fixation group had stable fixation, early wrist range of motion and better Demerit score compared to external fixator group.