Summary
Two randomized controlled trials (RCTs) suggest that functional scores tended to be
better for volar locked plating compared with bridging external fixation. Varying
results were seen for grip strength and radiographic measurements, differences in
range of motion tended to diminish over time, and no differences were seen in complication
rates. Additional studies with stronger methods and adequate power should be performed
to substantiate these findings and provide more definitive evidence regarding differences
between volar plating and bridging external fixation in treating distal radial fractures.
