To Compare Mean Dash Score at 12 Weeks in Distal Radius Fracture Patients Treated Operatively (ORIF Group) Versus Those Treated Non-Operatively (CAST Group)

Aim: To compare wrist function by mean of DASH score at 12 weeks in distal radial fracture patients treated operatively (ORIF group) versus those non-operatively (CAST group). Methodology: The randomized controlled trial was conducted Indus Hospital Karachi, which is a tertiary care hospital from 1st January 2017 to 30th June and the follow up taken after recruitment last patient 96 were enrolled. Patients operative group with volar locking plate. Reduction stabilization done application 2.7mm titanium radius anatomically contoured implants. Non-operative Treatment Protocol that All complete six immobilization splint. One repeated manipulation if needed accepted first 3 weeks. Passive active finger motion starting encouraged. Formal physiotherapy this started 6 removal cast. In twelfth week, functional assessment examined physiotherapist or orthopaedic resident both Cast ORIF. Results: Thirty (31.3%) 66(68.8%) non-operative group. No significant difference found age, height, weight, BMI between groups (Mean: 42.7 vs 41.6 years, p=0.644; 156.5 156.4 cm, p=0.962, 61.0 59.5 kg, p=0.557, 24.9 24.5, p=0.395 respectively). Moreover, distribution gender, dominant hand, injured hand also similar (p=0.427, p=0.587, p= 0.673). be significantly lower as compared cast (median 17.5 28.8, p<0.0001, 16.6 27.9, p<0.0001). Conclusion: At plates produced better clinical outcomes treatment Cast. anatomical reduction more possible conserved operating group, but early mobilization achieved key achieving outcomes. Keywords: Distal extra-articular fractures, score, Wrist