Evidence map›Paper›PMID 26872680›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2017

Classification and treatment of distal radius fractures: a survey among orthopaedic trauma surgeons and residents.

M A M Mulders, D Rikli, J C Goslings, N W L Schep

Open access · hybridAbstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. Long-term patient-reported outcomes after nonoperative treatment of distal radial fractures: what CT-based gaps and step-offs can be accepted?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
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  10. Comparison of Marker-Based RSA and CT-RSA for Analyzing Micromotions After Distal Radius Osteotomy: A 1-Year Retrospective Study of 24 Patients.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
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  14. Distal radius fractures-Why do they fail?Journal of orthopaedics · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

M A M MuldersTrauma Unit, Department of Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. m.a.mulders@amc.nl.
D RikliDepartment of Surgery, University Hospital Basel, University of Basel, Spitalstrasse 21, 4056, Basel, Switzerland.
J C GoslingsTrauma Unit, Department of Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
N W L SchepDepartment of Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ, Rotterdam, The Netherlands.
Academic Medical Center · NLMaasstad Ziekenhuis · NLUniversity Hospital of Basel · CHUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeClassification, the definition of an acceptable reduction and indications for surgery in distal radius fracture management are still subject of debate. The purpose of this study was to characterise current distal radius fracture management in Europe.

methodsDuring the European Congress of Trauma and Emergency Surgery (ECTES) 2015 a 20-question multiple-choice survey was conducted among the attending surgeons and residents of the hand and wrist session. Consensus was defined as more than 50 % identical answers (moderate consensus 50-75 % and high consensus more than 75 %).

resultsA total of 46 surgeons and residents participated in the survey. High consensus was found among both surgeons and residents for defining the AO/OTA classification as the preferred classification system. For the definition of an acceptable reduction, a moderate to high consensus could be determined. Overall, high consensus was found for non-operative treatment instead of operative treatment in dislocated extra- and intra-articular distal radius fractures with an acceptable closed reduction, regardless of age. We found high (surgeons) and moderate (residents) consensus on the statement that an intra-articular gap or step-off ≥2 mm, in patients younger than 65 years, is an absolute indication for ORIF. The same applied for ORIF in dislocated fractures without an acceptable closed reduction in patients younger than 75 years of age.

conclusionCurrent distal radius fracture management in Europe is characterised by a moderate to high consensus on the majority of aspects of fracture management.

Indexed as

ConsensusOrthopedicsOrthopedic SurgeonsAgedClinical CompetenceEuropeFracture Fixation, InternalFracture HealingHumansIntra-Articular FracturesRadius FracturesSurveys and QuestionnairesTreatment OutcomeClassificationDislocatedDistal radiusFractureSurveyTreatment

Identifiers

PMID26872680
PMCPMC5378748
OpenAlexW2268718540

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.