Evidence map›Paper›PMID 34623473›Full record

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

3D virtual pre-operative planning may reduce the incidence of dorsal screw penetration in volar plating of intra-articular distal radius fractures.

Jasper Prijs, Bram Schoolmeesters, Denise Eygendaal, Jean-Paul P M de Vries, Paul C Jutte, Job N Doornberg, Ruurd L Jaarsma, Frank F A IJpma, Traumaplatform 3D Consortium

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Article 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Symmetry of the left and right tibial plafond; a comparison of 75 distal tibia pairs.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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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

9 authors.

Jasper PrijsDepartment of Orthopaedic and Trauma Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia. j.prijs@umcg.nl.ORCID http://orcid.org/0000-0003-4537-2273
Bram SchoolmeestersDepartment of Orthopaedic and Trauma Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia.
Denise EygendaalDepartment of Orthopaedic Surgery, University of Amsterdam, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Jean-Paul P M de VriesDepartment of Surgery, University of Groningen, University Medical Center Groningen, BA13, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Paul C JutteDepartment of Orthopaedic Surgery, University Medical Center Groningen, Groningen, The Netherlands.
Job N DoornbergDepartment of Orthopaedic and Trauma Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia.
Ruurd L JaarsmaDepartment of Orthopaedic and Trauma Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia.
Frank F A IJpmaDepartment of Surgery, University of Groningen, University Medical Center Groningen, BA13, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Traumaplatform 3D Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effect of three-dimensional virtual pre-operative planning (3DVP) on the incidence of dorsal screw penetration after volar plating of distal radius fractures.

methodsA cross-sectional diagnostic imaging study was performed. Twenty out of 50 patients were randomly selected from our index prospective cohort (IPC): a prior study evaluating dorsal tangential views (DTVs) in reducing dorsal screw penetration in internal fixation of intra-articular distal radius fractures using post-operative CT scans to quantify screw protrusion. Pre-operative CTs from this cohort were now used for 3DVP by three experienced orthopaedic trauma surgeons (supplementary video). 3DVP was compared with the corresponding post-operative CT for assessing screw lengths and incidence of dorsal penetration. The Wilcoxon Signed Ranks test was used to compare screw lengths and the Fishers' exact for incidence of penetration.

resultsThree surgeons performed 3DVP for 20 distal radius fractures and virtually applied 60 volar plates and 273 screws. Median screw length was shorter in the 3DVP when compared to IPC: 18 mm (range, 12-22) versus 20 mm (range, 14-26) (p < 0.001). The number of penetrating screws was 5% (13/273 screws) in the 3DVP group compared to 11% (10/91 screws) in the IPC (p = 0.047). Corresponding to a reduction in incidence of at least one dorsally penetrating screw in 40% of patients in the IPC group, to 18% in the 3DVP group (p = 0.069).

conclusionThree-Dimensional Virtual Pre-Operative Planning (3DVP) may reduce the incidence of dorsally penetrating screws in patients treated with volar plating for intra-articular distal radius fractures. LEVEL OF EVIDENCE: II, diagnostic imaging study.

Indexed as

Bone ScrewsFracture Fixation, InternalImaging, Three-DimensionalPreoperative CareRadius FracturesBone PlatesCross-Sectional StudiesHumansIncidenceProspective StudiesTomography, X-Ray Computed3DDistal radius fractureDorsal screw penetrationVirtual planningVirtual surgical planning

Identifiers

PMID34623473
PMCPMC9532324

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