Distal Radius Fractures: A Comparison of Tension Band Wiring Versus Ulnar Outrigger External Fixation for the Management of Distal Radioulnar Instability

Our results indicate that patients in whom the ulnar styloid can be reduced and maintained in supination can be treated effectively with fixed supination outrigger external fixation. This method resulted in a statistically significant improvement in supination and a lower rate of distal radioulnar joint complications, and it required fewer secondary procedures.