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Distal radius fracture
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==== Displaced intra-articular fractures ==== These fractures, although less common, often require surgery in active, healthy patients to address displacement of both the joint and the metaphysis. The two mainstays of treatment are bridging external fixation or ORIF. If reduction can be achieved by closed/percutaneous reduction, then open reduction can generally be avoided. Percutaneous pinning is preferred to plating due to similar clinical and radiological outcomes, as well as lower costs, when compared to plating, despite increased risk of superficial infections.<ref>{{cite journal |last1=Anderson |first1=Mark S. |last2=Ghamsary |first2=Mark |last3=Guillen |first3=Phillip T. |last4=Wongworawat |first4=Montri D. |title=Outcomes After Distal Radius Fracture Treatment With Percutaneous Wire Versus Plate Fixation: Meta-Analysis of Randomized Controlled Trials |journal=Journal of Surgical Orthopaedic Advances |date=2017 |volume=26 |issue=1 |pages=7β17 |pmid=28459418 |url=https://www.jsoaonline.com/archive/2017/distal-radius-fracture-treatment-percutaneous-wire/ |url-access=subscription }}</ref> Level of joint restoration, as opposed to surgical technique, has been found to be a better indicator of functional outcomes.<ref name="Court-Brown 2015"/>
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