External Fixation Versus Open Reduction With Locked Volar Plating for Geriatric Distal Radius Fractures

Daniel J. Lee, John C. Elfar

Research output: Contribution to journalArticle

2 Scopus citations


The optimal management of displaced dorsal radius fractures (DRFs) in older patients remains an issue of debate. Bridging external fixation is a well-accepted treatment modality for severely comminuted DRFs, while open reduction and internal fixation with locked volar plating has emerged as a promising alternative in recent years. The current body of randomized trials supports the trend toward locked volar plating, as it allows for quicker improvement in subjective and functional outcomes. There is no clear evidence to suggest that one technique carries significantly less complications than the other. Locked volar plating should be considered in patients for whom an accelerated functional recovery would be advantageous. Otherwise, both external fixation and locked volar plating provide good long-term clinical outcomes.

Original languageEnglish (US)
Pages (from-to)141-143
Number of pages3
JournalGeriatric Orthopaedic Surgery & Rehabilitation
Issue number3
Publication statusPublished - Sep 2014


All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine
  • Rehabilitation
  • Geriatrics and Gerontology

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