Evaluating Functional Recovery in Distal Radius Fractures: Closed Reduction with Cast vs. Volar Plating.

Background and Objectives: While many of the distal radius fractures fractures are relatively uncomplicated and can be effectively treated with closed reduction and casting, unstable intraarticular fractures can compromise joint integrity and lead to complications. This has led to a shift towards surgical management to address these issues. The aim of this study was to compare the functional outcomes of distal end radius fractures treated with closed reduction and cast application versus volar plating. Material and Methods: This study involved a randomized prospective interventional approach in which all patients with distal radius fractures were included based on specific inclusion and exclusion criteria. A total of 70 patients were enrolled and followed for six months. They were evenly divided into two groups, with 35 patients receiving surgical treatment and the other 35 managed conservatively. Patients were scheduled for follow-up at 6 days, 6 weeks, 3 months, and 6 months, during which routine X-rays were taken, and the DASH scoring system was used to assess functional recovery. Results: Patients who received operative management showed a significantly better "Good" DASH score for the affected hand at the 3-month mark. Fair scores were significantly higher among patients managed conservatively, and Excellent scores at 6 months were significantly higher in the operative management group. Conclusion: This study suggests that surgical intervention for distal end radius fractures can reduce the risk of wrist joint stiffness and loss of reduction, resulting in good functional outcomes compared to conservative management. [ABSTRACT FROM AUTHOR]