SynthesisActa orthopaedica2013
Comparison of internal and external fixation of distal radius fractures.
Synthesis in Acta orthopaedica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 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, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- What Is the Relative Effectiveness of the Various Surgical Treatment Options for Distal Radius Fractures? A Systematic Review and Network Meta-analysis of Randomized Controlled Trials.Clinical orthopaedics and related research · 2021Pooled 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
- Comminuted fracture managed by Universal Mini External (UMEX) fixator: a case report of two cases and a narrative literature review.Annals of medicine and surgery (2012) · 2026Article
- A Comparative Prospective Study Between Ligamentotaxis Versus Volar Plating in Displaced Intra-articular Fractures of Distal End Radius in Adults.The archives of bone and joint surgery · 2026Article
- Article
- Review
- Is fracture management merely a physical process? Exploring the psychological effects of internal and external fixation.Journal of orthopaedic surgery and research · 2024Article
- COMBINED PLATE VERSUS EXTERNAL FIXATION FOR DISTAL RADIUS FRACTURES.Acta ortopedica brasileira · 2023Article
- Treatment of Distal Radius Fractures with Bridging External Fixator with Optional Percutaneous K-Wires: What Are the Right Indications for Patient Age, Gender, Dominant Limb and Injury Pattern?Journal of personalized medicine · 2022Article
- Combined Plating of Intra-Articular Distal Radius Fractures, a Consecutive Series of 74 Cases.Journal of wrist surgery · 2020Article
- The Declining Use of Wrist-Spanning External Fixators.Hand (New York, N.Y.) · 2020Article
- Bridging versus Nonbridging Dynamic External Fixation of Unstable Distal Radius Fractures in the Elderly with Polytrauma: A Randomized Study.Journal of wrist surgery · 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
- Strain as a Function of Time in Extrinsic Wrist Ligaments Tensioned Through External Fixation.Hand (New York, N.Y.) · 2018Article
- Article
- Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review.Strategies in trauma and limb reconstruction · 2017Review
- Similar 1-year subjective outcome after a distal radius fracture during the 10-year-period 2003-2012.Acta orthopaedica · 2017Article
- National Surgical Trends for Distal Radius Fractures in Korea.Journal of Korean medical science · 2017Article
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 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThere is no consensus on the difference in effects of internal fixation (IF) and external fixation (EF) on outcomes for the treatment of distal radius fractures. We performed a meta-analysis of randomized clinical studies.
methodsWe searched the literature and included studies that compared the effects of IF and EF on the treatment of distal radius fractures. Statistically, we pooled patient data using standard meta-analytic methods. For the continuous variables, the weighted mean difference (WMD) was used. For dichotomous data, the relative risk (RR) was calculated.
results10 studies were eligible for data extraction. The pooled data showed that compared with EF, IF led to statistically significantly better Disabilities of the Arm, Shoulder, and Hand (DASH) scores at 12 months postoperatively, recovery of forearm supination at 3 months, and restoration of volar tilt and radial inclination. IF using volar locking plates resulted in better DASH scores than EF at 3 and 6 months, but the trend diminished over time; at 12 months postoperatively, the scores were not statistically significant. Compared with EF, IF led to fewer minor surgical complications.
interpretationFor surgical treatment of distal radius fractures, IF yields better functional outcomes, forearm supination, restoration of anatomic volar tilt and radial inclination, and fewer minor complications. The patients who received IF using volar locking plates for the treatment of distal radius recovered more quickly than did patients who received EF.
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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.