The current evidence-based management of distal radial fractures: UK perspectives

J Hand Surg Eur Vol. 2019 Jun;44(5):450-455. doi: 10.1177/1753193419843201. Epub 2019 Apr 16.

Abstract

Distal radial fractures are extremely common injuries, yet many basic questions remain unanswered about their optimum management. Recently in the United Kingdom several guideline development groups have produced national standards and best-practice guidelines based on review of the best available evidence and expert knowledge. All guideline groups agree that when surgery is needed for dorsally displaced distal radial fractures, that can be reduced closed, K-wire fixation and cast immobilization, should be offered. Further research questions have been identified. The important findings and recommendations are summarized in this article.

Keywords: Distal radius; United Kingdom; fracture; guidelines; treatment.

Publication types

  • Review

MeSH terms

  • Anesthesia, Conduction
  • Casts, Surgical
  • Closed Fracture Reduction
  • Evidence-Based Medicine
  • Fracture Fixation, Internal
  • Humans
  • Manipulation, Orthopedic
  • Postoperative Care
  • Practice Guidelines as Topic
  • Radius Fractures / therapy*
  • Time-to-Treatment
  • United Kingdom