Comparative Analysis of Dorsal Distraction Plating Versus External Fixation in the Management of Intra-Articular Distal Radius Fractures

Comparative Analysis of Dorsal Distraction Plating Versus External Fixation in the Management of Intra-Articular Distal Radius Fractures | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Comparative Analysis of Dorsal Distraction Plating Versus External Fixation in the Management of Intra-Articular Distal Radius Fractures Ismail Pandor, Paresh Patil This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6753901/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Introduction: Fractures located in close proximity to the lower end of the radius bone, which make up around 16% of fractures requiring emergency treatment, require careful treatment to regain mobility in the wrist joint and the fingers. Although classic external fixation methods are widely used, newer procedures such as dorsal distraction plating are showing potential. This study investigates the concepts, debates, and results of several methods so that to determine the most effective fracture treatment. Materials and Methods: The experiment will recruit individuals with intricate Fractures affecting the joint across the distal region of the radius. The patients will be randomly randomized to receive either Dorsal Distraction Plating or External Fixation. Preoperative, postoperative, and follow-up assessments will involve clinical and radiographic examinations. Functional outcomes will be evaluated using standardized scoring systems. A comparative statistical analysis will be performed to assess the outcomes obtained from both groups. Results: The average ages across the bridge plate and ExFix sections were 40 and 43 years, respectively. The cohort of patients who had bridge plating exhibited a greater prevalence of male individuals (P=0.011).The ExFix group had elevated infection rates, which can be ascribed to the occurrence of pin tract infections. Both the groups did not show any instances of nerve palsy. Patients who received dorsal distraction plating expressed higher levels of satisfaction with their postoperative results, both in terms of functionality and appearance. Discussion: Patients treated with dorsal distraction reported fewer issues. Although a few difficulties were observed, the most of these patients expressedhigh levels of satisfaction with the results of their surgical procedures. The findings suggest that dorsal distraction may offer a more favorable balance between functional recovery and patient satisfaction, highlighting a potential advantage over external fixation. In the long run however the functional outcomes of both the techniques were found to be similar Conclusion: Dorsal Bridge plating is a viable substitute for ExFix in treating distal radius fractures. The use of dorsal bridge plating demonstrated greater performance in daily activities, Despite the fact that the functional and radiological findings at 6 months were found to be almost indistinguishable in both groups. Radiological and functional radius fractures external fixation dorsal distraction plating Full Text Additional Declarations No competing interests reported. We had obtained ethics clearance from the ethics committee at Krishna Institute of medical sciences, Karad. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6753901","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":464910058,"identity":"0f364886-374a-4a97-a504-a29566ff2f70","order_by":0,"name":"Ismail Pandor","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA1klEQVRIiWNgGAWjYBACNhjJJv/4AJAlIUO8Fn6GtASQFh7i7ZJsyDEAMQlr4WPgPfi5oMwm3+DAmc+vbtRY8DCwHz66Ab/5fMnSM86lWW442LvNOucY0GE8aWk38GvhMZDmbTtsYHCYd5txDhtQiwSPGSEtxr/BWo7xPDPO+UecFjOwLZI9PMyPc9uI0cLMl2bNcy7NgF+CzYw5t0+Ch42QX+Tbew/f5imzMWCTYH78OedbnRw/++FjeLUwMCMigk0C4lSCAKGF+QNh1aNgFIyCUTASAQDW0DtvQQ7t/QAAAABJRU5ErkJggg==","orcid":"","institution":"Krishna Institute of Medical Sciences Deemed University","correspondingAuthor":true,"prefix":"","firstName":"Ismail","middleName":"","lastName":"Pandor","suffix":""},{"id":464910059,"identity":"a5522e12-5b93-4c3e-af6e-42392146b5ba","order_by":1,"name":"Paresh Patil","email":"","orcid":"","institution":"Krishna Institute of Medical Sciences Deemed University","correspondingAuthor":false,"prefix":"","firstName":"Paresh","middleName":"","lastName":"Patil","suffix":""}],"badges":[],"createdAt":"2025-05-26 22:38:12","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6753901/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6753901/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":103035477,"identity":"140132dc-b69f-4fcb-9a23-ddaae1e85093","added_by":"auto","created_at":"2026-02-20 01:24:22","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":456985,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6753901/v1_covered_9f16737e-efaa-4e9c-a81b-8f1ae880c595.pdf"}],"financialInterests":"\u003cp\u003eNo competing interests reported.\u003c/p\u003e\n\u003cp\u003eWe had obtained ethics clearance from the ethics committee at Krishna Institute of medical sciences, Karad.\u003c/p\u003e","formattedTitle":"Comparative Analysis of Dorsal Distraction Plating Versus External Fixation in the Management of Intra-Articular Distal Radius Fractures","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Radiological and functional, radius fractures, external fixation, dorsal distraction plating","lastPublishedDoi":"10.21203/rs.3.rs-6753901/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6753901/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eIntroduction: \u003c/strong\u003eFractures located in close proximity to the lower end of the radius bone, which make up around 16% of fractures requiring emergency treatment, require careful treatment to regain mobility in the wrist joint and the fingers. Although classic external fixation methods are widely used, newer procedures such as dorsal distraction plating are showing potential. This study investigates the concepts, debates, and results of several methods so that to determine the most effective fracture treatment.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMaterials and Methods: \u003c/strong\u003eThe experiment will recruit individuals with intricate Fractures affecting the joint across the distal region of the radius. The patients will be randomly randomized to receive either Dorsal Distraction Plating or External Fixation. Preoperative, postoperative, and follow-up assessments will involve clinical and radiographic examinations. Functional outcomes will be evaluated using standardized scoring systems. A comparative statistical analysis will be performed to assess the outcomes obtained from both groups.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults: \u003c/strong\u003eThe average ages across the bridge plate and ExFix sections were 40 and 43 years, respectively. The cohort of patients who had bridge plating exhibited a greater prevalence of male individuals (P=0.011).The ExFix group had elevated infection rates, which can be ascribed to the occurrence of pin tract infections. Both the groups did not show any instances of nerve palsy. Patients who received dorsal distraction plating expressed higher levels of satisfaction with their postoperative results, both in terms of functionality and appearance.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDiscussion: \u003c/strong\u003ePatients treated with dorsal distraction reported fewer issues. Although a few difficulties were observed, the most of these patients expressedhigh levels of satisfaction\u003c/p\u003e\n\u003cp\u003ewith the results of their surgical procedures. The findings suggest that dorsal distraction may offer a more favorable balance between functional recovery and patient satisfaction, highlighting a potential advantage over external fixation. In the long run however the functional outcomes of both the techniques were found to be similar \u003cstrong\u003eConclusion: \u003c/strong\u003eDorsal Bridge plating is a viable substitute for ExFix in treating distal radius fractures. 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