Evidence map›Paper›PMID 30810768›Full record

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

Comparison of fracture healing and long-term patient-reported functional outcome between dorsal and volar plating for AO C3-type distal radius fractures.

Paphon Sa-Ngasoongsong, Manuela Rohner-Spengler, Dimitri E Delagrammaticas, Reto Hansjörg Babst, Frank J P Beeres

Abstract readComparative Study
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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. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

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

  1. Temporary spanning plate wrist fixation of complex distal radius fractures: a systematic review of 353 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  2. Article
  3. [Distal radius fracture-tactic and approach].Operative Orthopadie und Traumatologie · 2023
    Article
  4. The spanning plate as an internal fixator in complex distal radius fractures: a prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  5. 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
    Article
  6. Article
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

5 authors.

Paphon Sa-NgasoongsongDepartment of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Manuela Rohner-SpenglerDepartment for Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Spitalstrasse, 6000, Lucerne, Switzerland.
Dimitri E DelagrammaticasDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA.
Reto Hansjörg BabstDepartment for Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Spitalstrasse, 6000, Lucerne, Switzerland.
Frank J P BeeresDepartment for Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Spitalstrasse, 6000, Lucerne, Switzerland. frank.beeres@luks.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the differences in long-term functional outcome and radiographic fracture healing between volar and dorsally approached comminuted intra-articular distal radius fractures (DRF) (AO C3-type).

methodsA retrospective, age-matched, case-control study with a 1:2 allocation ratio was conducted in 84 patients C3-type DRFs patients who underwent either dorsal locking plating (DLP) group (n = 28) or volar locking plating (VLP) group (n = 56). Standardized wrist radiographs (posterior-anterior and 15° lateral) were assessed immediately postoperative and at final follow. To evaluate for loss of reduction standard radiographic measurements were performed. Fracture healing was assessed radiologically. Patient-reported outcomes were assessed with the patient-related wrist evaluation and the EQ-5D-3L for health-related quality of life. Patient satisfaction was assessed with the use of a numeric analog scale ranging from 0 (not satisfied) to 100 (very satisfied).

resultsAll fractures united within 3 months postoperatively. Average age was 59 ± 12 years. Fifty-five patients (66%) participated in the follow-up survey at an average of 76.6 ± 23.8 months. DLP group showed a significant change in sagittal tilt compared with VLP group (3.4 ± 3.0° vs - 0.4 ± 4.1°, p < 0.001). No significant difference in other radiographic and long-term functional outcome was found between both groups (p > 0.05).

conclusionDorsal locking plating fixation in C3-type DRFs resulted in a minimal, but statistically significant, volar collapse of sagittal tilt compared with volar locking plating fixation. However, this difference in volar collapse did not significantly influence the long-term clinical outcome.

Indexed as

Bone PlatesFracture HealingPatient Reported Outcome MeasuresCase-Control StudiesFemaleFluoroscopyFracture Fixation, InternalHumansMaleMiddle AgedPatient SatisfactionPostoperative ComplicationsRadius FracturesRecovery of FunctionRetrospective StudiesWrist InjuriesComminuted intra-articular fractureDistal radius fractureDorsal platingFracture healingSurgical approachVolar plating

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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.