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ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Epidemiology and treatment of distal radius fractures: current concept based on fracture severity and not on age.

Anna Lena Sander, Maximilian Leiblein, Katharina Sommer, Ingo Marzi, Dorien Schneidmüller, Johannes Frank

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05332080 (FUNCTIONAL RECOVERY AFTER A TELEREHABILITATION PROGRAM IN PATIENTS WITH DISTAL RADIUS FRACTURE), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05332080 nacompletednot on this map

Functional recovery after a telerehabilitation program in patients with distal radius fracture: a randomized clinical trial

TypeinterventionalSponsorInstituto Mexicano del Seguro SocialRan2020 to 2021Enrolled88ConditionsDistal Radius FractureArmsTelerehabilitation via application on cell phone
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. ESTES recommendations regarding distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Review
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  15. Diagnostics, incidence and treatment of the distal radius fractures: an area for many studies, opinions and treatment options.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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  19. Using mini-arthrotomy for dorsal plating to treat intraarticular distal radius fractures: can it improve radiological and clinical outcomes?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
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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

6 authors.

Anna Lena SanderDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Germany. AnnaLena.Sander@kgu.de.
Maximilian LeibleinDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Germany.
Katharina SommerDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Germany.
Ingo MarziDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Germany.
Dorien SchneidmüllerDepartment of Trauma Surgery and Sports Orthopaedics BG Trauma Center Murnau, Garmisch-Partenkirchen Medical Center, Garmisch-Partenkirchen, Germany.
Johannes FrankDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA shift towards surgical treatment of distal radius fractures seems to be apparent. The purpose of the present study was to assess current epidemiological data, the fracture severity according to the AO classification and the changing trend in the treatment.

methodsThis study presents a retrospective review of 268 patients ≥ 18 years of age admitted to our level I trauma center with distal radius fractures between 2013 and 2015. The data were obtained from the hospital inpatient enquiry system and review of the radiological examinations.

resultsThe ratio between males and females was 87:181. The average age of the patients was 56.9 (18-99) years. A fall from standing position was the most common mechanism of injury. According to the AO classification, 43.3% were type A fractures, 13.1% type B, and 43.7% type C. As the intensity of the injury mechanism increased, the percentage of type C fractures also increased. A total of 61.9% of patients underwent surgery with open reduction and internal fixation with volar locking plates used as the preferred surgical treatment. Fracture severity correlated well with surgical decision. Elderly patients were just as likely to get surgical treatment as adult patients.

conclusionsOur findings confirmed the increasing popularity of surgical intervention with open reduction and internal fixation. Contrary to previous studies, the fracture type profile showed an equal proportion of type A and C fractures and the indication for surgical treatment correlated with fracture severity and not age.

Indexed as

Injury Severity ScoreAdolescentAdultAgedAged, 80 and overAge FactorsFemaleGermanyHumansMaleMiddle AgedRadius FracturesRetrospective StudiesTrauma CentersDistal radius fracturesEpidemiologyFracture severityTreatment

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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.