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Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

The aim of this study was to compare bridging external fixation with volar locked plating in patients with unstable distal radial fractures regarding functional outcome. A systematic search was performed in the Cochrane Central Register of Controlled Trials, Medline and EMBASE. All randomized contro...

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Autores principales: Walenkamp, Monique M. J., Bentohami, Abdelali, Beerekamp, M. Suzan H., Peters, Rolf W., van der Heiden, Remy, Goslings, J. Carel, Schep, Niels W. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3732670/
https://www.ncbi.nlm.nih.gov/pubmed/23892535
http://dx.doi.org/10.1007/s11751-013-0169-4
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author Walenkamp, Monique M. J.
Bentohami, Abdelali
Beerekamp, M. Suzan H.
Peters, Rolf W.
van der Heiden, Remy
Goslings, J. Carel
Schep, Niels W. L.
author_facet Walenkamp, Monique M. J.
Bentohami, Abdelali
Beerekamp, M. Suzan H.
Peters, Rolf W.
van der Heiden, Remy
Goslings, J. Carel
Schep, Niels W. L.
author_sort Walenkamp, Monique M. J.
collection PubMed
description The aim of this study was to compare bridging external fixation with volar locked plating in patients with unstable distal radial fractures regarding functional outcome. A systematic search was performed in the Cochrane Central Register of Controlled Trials, Medline and EMBASE. All randomized controlled trials that compared bridging external fixation directly with volar locked plating in patients with distal radial fractures were considered. Three reviewers extracted data independently from eligible studies using a data collection form. Studies in which the primary endpoint was measured on the disabilities of the arm shoulder and hand (DASH) score at 3, 6 and 12 months were included in the analysis. To this end, mean scores and standard deviations were extracted. The software package Revman 5 provided by the Cochrane Collaboration was used for data analysis. Three studies involving 174 patients were analyzed. Ninety patients were treated with an (augmented) bridging external fixator and 84 with a volar locking plate. Data were analyzed with the random effects model. The robustness of the results was explored using a sensitivity analysis. Patients treated with a volar locking plate showed significantly lower DASH scores at all times. A difference of 16 (p = 0.006), six (p = 0.008) and eight points (p = 0.06) was found at 3, 6 and 12 months follow-up, respectively. Patients treated with a volar locking plate showed significantly better functional outcome throughout the entire follow-up. However, this difference was only clinically relevant during the early postoperative period (3 months).
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spelling pubmed-37326702013-08-05 Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis Walenkamp, Monique M. J. Bentohami, Abdelali Beerekamp, M. Suzan H. Peters, Rolf W. van der Heiden, Remy Goslings, J. Carel Schep, Niels W. L. Strategies Trauma Limb Reconstr Review The aim of this study was to compare bridging external fixation with volar locked plating in patients with unstable distal radial fractures regarding functional outcome. A systematic search was performed in the Cochrane Central Register of Controlled Trials, Medline and EMBASE. All randomized controlled trials that compared bridging external fixation directly with volar locked plating in patients with distal radial fractures were considered. Three reviewers extracted data independently from eligible studies using a data collection form. Studies in which the primary endpoint was measured on the disabilities of the arm shoulder and hand (DASH) score at 3, 6 and 12 months were included in the analysis. To this end, mean scores and standard deviations were extracted. The software package Revman 5 provided by the Cochrane Collaboration was used for data analysis. Three studies involving 174 patients were analyzed. Ninety patients were treated with an (augmented) bridging external fixator and 84 with a volar locking plate. Data were analyzed with the random effects model. The robustness of the results was explored using a sensitivity analysis. Patients treated with a volar locking plate showed significantly lower DASH scores at all times. A difference of 16 (p = 0.006), six (p = 0.008) and eight points (p = 0.06) was found at 3, 6 and 12 months follow-up, respectively. Patients treated with a volar locking plate showed significantly better functional outcome throughout the entire follow-up. However, this difference was only clinically relevant during the early postoperative period (3 months). Springer Milan 2013-07-28 2013-08 /pmc/articles/PMC3732670/ /pubmed/23892535 http://dx.doi.org/10.1007/s11751-013-0169-4 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Review
Walenkamp, Monique M. J.
Bentohami, Abdelali
Beerekamp, M. Suzan H.
Peters, Rolf W.
van der Heiden, Remy
Goslings, J. Carel
Schep, Niels W. L.
Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis
title Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis
title_full Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis
title_fullStr Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis
title_full_unstemmed Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis
title_short Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis
title_sort functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3732670/
https://www.ncbi.nlm.nih.gov/pubmed/23892535
http://dx.doi.org/10.1007/s11751-013-0169-4
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