SynthesisInternational orthopaedics2011
Internal versus external fixation for unstable distal radius fractures: an up-to-date meta-analysis.
Synthesis in International orthopaedics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Non-surgical vs. surgical treatment of distal radius fractures: a meta-analysis of randomized controlled trials.BMC surgery · 2024Pooled it
- A systematic review of the quality of distal radius systematic reviews: Methodology and reporting assessment.PloS one · 2019Pooled it
- Internal Versus External Fixation for the Treatment of Distal Radial Fractures: A Systematic Review of Overlapping Meta-Analyses.Medicine · 2016Pooled it
- Comparison of treatment outcomes between nonsurgical and surgical treatment of distal radius fracture in elderly: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2015Pooled it
- Comparison of internal and external fixation of distal radius fractures.Acta orthopaedica · 2013Pooled it
- No benefit for elbow blocking on conservative treatment of distal radius fractures: A 6-month randomized controlled trial.PloS one · 2021Trial
- Assessment of Distal Radius Fracture Complications Among Adults 60 Years or Older: A Secondary Analysis of the WRIST Randomized Clinical Trial.JAMA network open · 2019Trial
- [The volar locking plate for extension fractures of the distal radius].Operative Orthopadie und Traumatologie · 2016Trial
- Intramedullary repair device against volar plating in the reconstruction of extra-articular and simple articular distal radius fractures; a randomized pilot study.International orthopaedics · 2014Trial
- Treatment of reducible unstable fractures of the distal radius: randomized clinical study comparing the locked volar plate and external fixator methods: study protocol.BMC musculoskeletal disorders · 2014Trial
- Surgical vs. Conservative Treatment of Distal Radius Fractures in the Elderly: A Systematic Review and Meta-Analysis.Cureus · 2024Review
- Article
- Analysis of the Clinical and Radiological Results of Bridge Plate Versus External Fixation in Comminuted Distal Radius Fractures.Revista brasileira de ortopedia · 2021Article
- Impact of Bone Fracture on Muscle Strength and Physical Performance-Narrative Review.Current osteoporosis reports · 2020Review
- Combined Plating of Intra-Articular Distal Radius Fractures, a Consecutive Series of 74 Cases.Journal of wrist surgery · 2020Article
- Comparison of intraoperative 2D vs. 3D imaging in open reduction and fixation of distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Article
- Long term outcomes of open reduction internal fixationOrthopedic reviews · 2019Article
- Combined Volar T-Plate and Dorsal Pi-Plate for Distal Radius Fractures: A Consecutive Series of 80 AO type C2 and C3 Cases.Journal of wrist surgery · 2019Article
- Complications of Volar Plating of Distal Radius Fractures: A Systematic Review.Journal of wrist surgery · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOur aim was to compare the effect of internal vs external fixation for unstable distal radius fractures regarding postoperative complications, clinical results and radiological outcomes.
methodsWe selected PubMed; Cochrane Library; EMBASE; BIOSIS; Ovid and the relevant English orthopaedic journals and pooled data from ten eligible randomised controlled trials containing 738 patients to conduct a subgroup analysis according to different periods of follow-up. Our aim was to summarise the best available evidence.
resultsResults showed that compared with external fixation, internal fixation led to significantly fewer total surgical complications [95% confidence interval (CI) 0.39-0.81, P = 0.002] and reduced the incidence of pin-track infections (95% CI 0.08-0.46, P = 0.0002) after a one year follow-up. For clinical results, grip strength (95% CI 1.59-8.25, P = 0.004), supination (95% CI 13.99-48.83, P = 0.0004) and pronation (95% CI 5.61-26.09, P = 0.002) were superior in the internal fixation group six weeks postoperatively, and the same results were obtained three months postoperatively for grip strength (95% CI 3.21-13.47, P = 0.001) and supination (95% CI 3.61-16.01, P = 0.002). Meanwhile, the Disabilities of the Arm, Shoulder and Hand (DASH) score was superior in the internal fixation group at three months (95% CI -20.62 to -2.07, P = 0.02) and after one year (95% CI -14.37 to -2.32, P = 0.007) follow-up.
conclusionsWe suggest that the final results are significant and there is some evidence supporting the use of open reduction and internal fixation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.