Li J, Rai S, Tang X, et al. - Researchers compared the application of crossed Kirschner-wiring (KW) and non-bridging external fixator (EF) for the management of delayed distal radial fracture involving metaphyseal diaphyseal junction (MDJ) in adolescents. They retrospectively reviewed 146 (male = 101, female = 45) patients in EF group and 117 (male = 76, female = 41) in KW group between January 2012 to January 2017. Outcomes suggest the superiority of the EF to KW in the treatment of radial MDJ fractures in adolescents. Shorter duration of surgery, less tendon irritation, and better radiographic outcomes were noted in correlation with the EF vs KW. However, they suggest performing the cost-effect analysis, because the EF is more expensive than KW.