Evidence map›Paper›PMID 33994084›Full record

Trial reportChinese journal of traumatology = Zhonghua chuang shang za zhi2021

A comparative study of variable angle volar plate and bridging external fixator with K-wire augmentation in comminuted distal radius fractures.

Ratish Kumar Mishra, Bhagwati Prasad Sharma, Amit Kumar, Rohit Sherawat

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

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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 3 institutions in 1 country.

Ratish Kumar MishraOrthopedic Department, Sir Gangaram Hospital, New Delhi 11006, India.
Bhagwati Prasad SharmaCentral Institute of Orthopedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
Amit KumarOrthopedic Department, All India Institute of Medical Sciences, Rae Bareli 229405, India. Electronic address: amitdr87@gmail.com.
Rohit SherawatCentral Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
Vardhman Mahavir Medical College & Safdarjung Hospital · INAll India Institute of Medical Sciences · INSir Ganga Ram Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComminuted intraarticular distal radial fractures are difficult to treat conservatively and require operative treatment. This study compared the functional outcomes between variable angle volar plating and external fixator with K-wire augmentation in open reduction and internal fixation.

methodsA total of 62 adult patients with comminuted intraarticular distal radius fracture were randomized into 2 groups: volar plate group and external fixator group. These patients aged between 18 and 60 years had unilateral fractures, and agreed to be included in the study. Patients with a history of fracture, bilateral fracture, associated other injuries, delayed injury for more than 2 weeks, open fracture, pre-existing arthrosis or disability, psychiatric illness and pathological fracture were excluded. Patients were followed up at 6 weeks, 3 months, 6 months and 1 year. The assessment of pain, functional activity, range of motion and grip strength was done at each stage of follow-up. The pain and functional activities were assessed by patient rated wrist evaluation (PRWE) score and disabilities of the arm, shoulder and hand (DASH) score.

resultsPatients in volar plate group had superior PRWE score and DASH score at each stage of follow-up. At 1 year follow-up, the mean PRWE score were 7.48 for volar plate group and 7.35 for external fixator group; while the mean DASH score was 4.65 for volar plate group and 5.61 for external fixator group. They had better flexion and extension range of movement. They also had better pronation and supination range of motion at initial follow-up, however the difference get attenuated by 1 year. Volar plate group had significantly better grip strength than external fixator group. Complication rates were higher in external fixation group.

conclusionFixation with variable angle volar plate results in early wrist mobilization, better range of movement, less pain and disability and early return of function.

Indexed as

Fractures, ComminutedRadius FracturesAdolescentAdultBone PlatesBone WiresExternal FixatorsFracture Fixation, InternalHumansMiddle AgedRange of Motion, ArticularTreatment OutcomeYoung AdultComminutedDistal radius fractureExternal fixatorIntraarticularVolar plate

Identifiers

PMID33994084
PMCPMC8564728
OpenAlexW3213799228

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.