Evidence map›Paper›PMID 34722085›Full record

ArticleCureus2021

Early Results of a Variable-Angle Volar Locking Plate for Distal Radius Fractures: A Bi-centre Study.

Sherif Elerian, Talvinder Singh, Nikolas A Jagodzinsk, Rory Norris, Simon Tan, Dominic Power, Jonathan Jones, Zehong Chen, Hassan Eltagy

Abstract read
In one paragraph

Article in Cureus, 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
–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. Article
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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.

Sherif ElerianTrauma and Orthopaedics, Sandwell General Hospital, Birmingham, GBR.
Talvinder SinghTrauma and Orthopaedics, Sandwell General Hospital, Birmingham, GBR.
Nikolas A JagodzinskHand Unit, University Hospitals Birmingham NHS Trust, Birmingham, GBR.
Rory NorrisTrauma and Orthopaedics, Peterborough District Hospital, Cambridgeshire, GBR.
Simon TanHand Unit, University Hospitals Birmingham NHS Trust, Birmingham, GBR.
Dominic PowerHand Unit, University Hospitals Birmingham NHS Trust, Birmingham, GBR.
Jonathan JonesTrauma and Orthopaedics, Peterborough District Hospital, Cambridgeshire, GBR.
Zehong ChenTrauma and Orthopaedics, Sandwell General Hospital, Birmingham, GBR.
Hassan EltagyTrauma and Orthopaedics, Sandwell General Hospital, Birmingham, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose This study examines the clinical, functional and radiological outcomes of distal radius fracture fixation with the Aptus® (Medartis, Pennsylvania) locking plate in order to determine its efficacy and identify notable findings related to treatment variations. Methods This is a retrospective bi-centre study collecting patient details from a district general hospital and a regional hand unit. We assessed 61 consecutive patients with distal radius fractures (Arbeitsgemeinschaft für Osteosynthesefragen (AO) grade A=19, B=9, C=33) fixed using an Aptus® plate with a minimum of six months follow-up. Outcome measures included the DASH (Disabilities of the Arm, Shoulder and Hand) score, wrist range of movement and grip strength, and complications. Radiographs were reviewed to assess restoration of anatomy and union. Results All but two fractures united within six weeks. The mean ranges of movement were only mildly restricted compared to the normal wrist (flexion/extension = 102°; radial/ulna deviation = 53°; pronation/supination = 169°). Mean postoperative grip strength was 23.8 kg, which was comparable to the contralateral side at 31.5 kg. The mean DASH score was 18.2. Seven patients had screws misplaced outside the distal radius although three of these remained asymptomatic. Conclusion Variable-angle locking systems benefit from the flexibility of implant positioning and may allow enhanced inter-fragmentary reduction for accurate fixation of intra-articular fractures.

Indexed as

cam gripdistal radius fractureearly outcomesjoystickvariable-angle locking plate

Identifiers

PMID34722085
PMCPMC8549491

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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.