Comparison of external fixation vs volar plating for comminuted fracture of the distal end radius

Aim: to compare between the open reduction and internal fixation (orif) using a volar plate and external fixation with k-wire fixation for the treatment of unstable distal radius fractures. methods: this prospective study was carried out in the dg khan for the period from 02.03.2013 to 01.03.2015. a total of 30 cases according to inclusion were included in the study. results: open reduction and internal fixation with volar locking plate group has overall decrease incidence of complications significantly less radial shortening and significantly greater postoperative wrist motion when compared to external fixation. conclusion: use of volar locking plate resulted in a faster recovery of function compared with external fixation. use of volar locking plate resulted in better anatomical function and grip strength.