Evidence map›Paper›PMID 33900417›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Temporary spanning plate wrist fixation of complex distal radius fractures: a systematic review of 353 patients.

Frank J P Beeres, Bryan J M van de Wall, Urs Hug, Niels W L Schep, Reto Babst, Björn-Christian Link, Filippo Migliorini, Matthias Knobe, Rémy Liechti

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Comparison of Nanocrystalline Hydroxyapatite Bone Graft with Empty Defects in Long Bone Fractures: A Retrospective Case-Control Study.Medical science monitor : international medical journal of experimental and clinical research · 2023
    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

9 authors.

Frank J P BeeresDepartment of Orthopedic and Trauma Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Bryan J M van de WallDepartment of Orthopedic and Trauma Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Urs HugDepartment of Hand and Plastic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Niels W L SchepDepartment of Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands.
Reto BabstDepartment of Orthopedic and Trauma Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Björn-Christian LinkDepartment of Orthopedic and Trauma Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Filippo MiglioriniDepartment of Orthopedics, RWTH Aachen University Clinic, Aachen, Germany.
Matthias KnobeDepartment of Orthopedic and Trauma Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Rémy LiechtiDepartment of Orthopedic and Trauma Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland. remy_liechti@hotmail.ch.ORCID http://orcid.org/0000-0002-2206-4297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTemporary spanning plate fixation of the wrist has been described as an alternative treatment method for complex distal radius fractures (DRfs). This systematic review aims to gain insight on clinical and radiological outcomes of this technique currently published in literature.

methodsA comprehensive literature search of Pubmed, Embase, CENTRAL and CINAHL databases was conducted on November 5th 2020. All studies reporting on complications, functional, patient-rated and radiological outcomes of temporary spanning plate wrist fixation of DRFs in adult patients were included.

resultsTwo prospective and eight retrospective cohort studies were included encompassing 353 patients with of 357 DRFs. The overall mean age was 53 years (range 19-95 years). Overall mean follow-up ranged from 6 months to 8.8 years. The union rate was 99.4%. Plate removal was performed on average 4.5 months after initial operation (range 1.1-28.9 months). The most frequently reported complication was implant failure with an incidence of 3.1%. Mean flexion/extension, pronation/supination and radial/ulnar inclination arc averaged 96.6°, 151.5° and 36.5°, respectively. Grip strength averaged 79.7% of the contralateral side. Mean DASH and PRWE scores were 22.9 and 16 points, respectively. Radiological indices were all within the acceptable limits.

conclusionsTemporary spanning plate wrist fixation is a safe method for the treatment of complex DRFs. This technique can exploit the advantages of temporary wrist immobilization without the disadvantages of external fixation. With these aspects in mind, the spanning plate can serve as a valuable tool in the treatment of complex intra-articular DRFs.

Indexed as

Radius FracturesAdultAgedAged, 80 and overBone PlatesFracture Fixation, InternalHumansMiddle AgedProspective StudiesRange of Motion, ArticularRetrospective StudiesTreatment OutcomeWristYoung AdultBridge plateDistal radius fractureSpanning plate

Identifiers

PMID33900417

What OpenQuestion holds

Textmetadata
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.