Evidence map›Paper›PMID 33467341›Full record

ArticleJournal of functional morphology and kinesiology2019

Comparison between Surgical and Conservative Treatment for Distal Radius Fractures in Patients over 65 Years.

Gianluca Testa, Andrea Vescio, Paola Di Masi, Giulio Bruno, Giuseppe Sessa, Vito Pavone

Abstract read
In one paragraph

Article in Journal of functional morphology and kinesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Cast immobilization duration for distal radius fractures, a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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  12. Assessment of Patients' Quality of Life during Conservative Treatment after Distal Radius Fracture.International journal of environmental research and public health · 2022
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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.

Gianluca TestaDepartment of General Surgery and Medical Surgical Specialties-Section of Orthopaedic and Traumatology, AOU Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.ORCID 0000-0001-5246-9714
Andrea VescioDepartment of General Surgery and Medical Surgical Specialties-Section of Orthopaedic and Traumatology, AOU Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-1677-927X
Paola Di MasiDepartment of General Surgery and Medical Surgical Specialties-Section of Orthopaedic and Traumatology, AOU Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.
Giulio BrunoDepartment of General Surgery and Medical Surgical Specialties-Section of Orthopaedic and Traumatology, AOU Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.
Giuseppe SessaDepartment of General Surgery and Medical Surgical Specialties-Section of Orthopaedic and Traumatology, AOU Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.
Vito PavoneDepartment of General Surgery and Medical Surgical Specialties-Section of Orthopaedic and Traumatology, AOU Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.ORCID 0000-0001-5664-8066

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFractures of the distal radius (DRF) are the most common orthopedic injuries, representing one of the typical fractures indicating underlying osteoporosis. The aim of the study was to compare conservative and surgical treatment, analyzing quality of life and clinical outcome in an over 65 years old population.

methodsNinety one patients were divided into two groups: the ORIF group (39 patients) underwent surgery, and the conservative group (52 patients) was treated conservatively. The clinical and functional outcomes of all patients were evaluated using Short Form 36 (SF36), Modified Mayo Wrist Score (MMWS), Disability of the Arm Shoulder Hand (DASH), and Visual Analogue Scale (VAS). Range of motion at the joint was measured and compared with the contralateral healthy wrist.

resultsNo significant difference was found between the overall SF36 score, DASH score, MMWS, and VAS results. Role limitation was significantly better in the surgical group (

conclusionThe results of this study conform to recent literature, suggesting that a surgical reconstruction of the radius articular surface in an elderly population provides no clear clinical advantage. Treatment decisions must arise from careful diagnoses of the fracture and communication with the patient.

Indexed as

aging fracturecastingdistal radius fractureselderlyORIF

Identifiers

PMID33467341
PMCPMC7739362

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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.