DOI: https://doi.org/10.36347/sjams.2025.v13i01.002

Pages: 7-12

Introduction: Distal radius fractures are common upper limb injuries with diverse treatment options, including external fixation and volar locking plate (VLP) fixation. This study compares their effectiveness in achieving functional and radiological outcomes in a resource-limited Bangladeshi public hospital setting. Objectives: To compare functional and radiological outcomes of external fixation versus VLP fixation in managing distal radius fractures. Method and Materials: This prospective study was conducted on 38 patients with distal radius fractures at Dhaka Medical College Hospital from June 2019 to May 2020. Patients underwent external or plate fixation based on clinical assessment. Data collection included demographics, AO/OTA fracture classification, and postoperative outcomes (DASH scores, union rates). Statistical analysis was performed using SPSS version 25.0, and ethical approval was obtained prior to study initiation. Results: The study involved 38 patients with distal radius fractures, with a mean age of 43.2 years. The most common causes were falls from height (39.5%) and road traffic accidents (28.9%). External fixation was used in 52.6%, and plate fixation in 47.4%. Functional outcomes showed excellent recovery in 57.9%, while complications, including joint stiffness and infections, affected 47.4%. Radiological union was achieved in 92.1%, with high patient satisfaction (92.1%). Conclusion: This study highlights the effectiveness of external fixation and plate fixation in managing distal radius fractures in a Bangladeshi public hospital setting.