Comparison of clinical efficacy of open reduction and internal fixation for different types of male distal radius fractures

To compare the effects of open reduction and internal fixation (ORIF) on male patients with distal radius fracture (DRF) combined with ulnar styloid process fracture of different types (Hauck II and Hauck I). Male patients with DRF and associated ulnar styloid process fractures who were treated at our hospital between March 2021 and March 2022 were randomly assigned to a Hauck I type (Group A, n = 44 cases) and Hauck II type (Group B, n = 44 cases). Both groups of patients underwent ORIF procedures, with self-locking locking compression plates used during surgery, and their surgical conditions (including time and bleeding volume), Visual Analog Scale (VAS) scores, wrist joint functionality (assessed using the Mayo score and range of motion), and quality of life scores were compared. At the last follow-up, Group A exhibited significantly greater wrist joint range of motion and WHO-QOL-BREF (The World Health Organization quality of life) scores compared to Group B (p < 0.05). However, no statistically significant differences (p > 0.05) were observed when comparing surgical conditions (time, bleeding volume), duration of hospital stay, fracture healing rates, incidence of complications, VAS scores (1 day, 2 days, 3 days post-surgery) and Mayo scores at the last follow-up between Group B and Group A. Male patients suffering from distal radius fractures combined with ulnar styloid process fractures can benefit from ORIF. Specifically, Hauck I patients demonstrate superior wrist joint mobility and a higher quality of life compared to Hauck II patients.

Open reduction and internal fixation surgery; Hauck Type II; Hauck Type I; Male; Distal radius fracture; Surgical situation; VAS score; Recovery of wrist joint function

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