Evaluation of current treatment techniques for distal radius fractures amongst Belgian orthopaedic surgeons


Published online: Jun 27 2015

D.E.C VAN SCHAIK, C.K. GOORENS, P. WERNAERS, B. HENDRICKX, T. SCHEERLINCK, J.F. GOUBAU

From Department of Orthopaedic Surgery, Regional Hospital Tienen, Belgium

Abstract

This online questionnaire was initiated to investigate if a consensus on the treatment of distal radius fractures amongst orthopaedic surgeons in Belgium exist. Two cases were presented : an extra-articular fracture, with dorsal displacement (Frykman type I) and a displaced intra-articular fracture (Frykman type VII). Treatment of choice and rationale of choice were investigated. 158 responses were collected. In case of a Frykman type I, the majority of surgeons would have performed a closed reduction and intrafocal K-wiring (37.3%) or volar plating (34.8%). In case of a Frykman type VII, volar plating was the primary treatment of choice (66.5%), closed reduction and K-wiring was chosen in 24.7% and external fixation in 4.4%. We cannot conclude on a consensus in treatment choice amongst Belgian orthopaedic surgeons. Compared to previous research, an increase in the use of volar plating in intra- as well as in extraarticular distal radius fractures was noticed.