Evidence map›Paper›PMID 34930350›Full record

ArticleJournal of orthopaedic surgery and research2021

Does circumferential casting prevent fracture redisplacement in reduced distal radius fractures? A retrospective multicentre study.

A C Berger, B Barvelink, M Reijman, T Gosens, G A Kraan, M R De Vries, M H J Verhofstad, K W W Lansink, P F W Hannemann, J W Colaris

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

10 authors at 4 institutions in 1 country.

A C BergerDepartment of Orthopedic Surgery, Erasmus MC Rotterdam, University Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-6858-0935
B BarvelinkDepartment of Orthopedic Surgery, Erasmus MC Rotterdam, University Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
M ReijmanDepartment of Orthopedic Surgery, Erasmus MC Rotterdam, University Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
T GosensDepartment of Orthopedic Surgery, Elisabeth Tweesteden Hospital, Hilvarenbeekse Weg 60, 5022 GC, Tilburg, The Netherlands.
G A KraanDepartment of Orthopedic Surgery, Reinier de Graaf Gasthuis, Reinier de Graafweg 5, 2625 AD, Delft, The Netherlands.
M R De VriesDepartment of Surgery, Reinier de Graaf Gasthuis, Reinier de Graafweg 5, 2625 AD, Delft, The Netherlands.
M H J VerhofstadTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
K W W LansinkDepartment of Surgery, Elisabeth Tweesteden Hospital, Hilvarenbeekse Weg 60, 5022 GC, Tilburg, The Netherlands.
P F W HannemannDepartment of Trauma Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
J W ColarisDepartment of Orthopedic Surgery, Erasmus MC Rotterdam, University Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. j.colaris@erasmusmc.nl.
Erasmus MC · NLElisabeth-TweeSteden Ziekenhuis · NLReinier de Graaf Hospital · NLMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluates whether a circumferential cast compared to a plaster splint leads to less fracture redisplacement in reduced extra-articular distal radius fractures (DRFs).

methodsThis retrospective multicentre study was performed in four hospitals (two teaching hospitals and two academic hospitals). Adult patients with a displaced extra-articular DRF, treated with closed reduction, were included. Patients were included from a 5-year period (January 2012-January 2017). According to the hospital protocol, fractures were immobilized with a below elbow circumferential cast (CC) or a plaster splint (PS). The primary outcome concerned the difference in the occurrence of fracture redisplacement at one-week follow-up.

resultsA total of 500 patients were included in this study (PS n = 184, CC n = 316). At one-week follow-up, fracture redisplacement occurred in 52 patients (17%) treated with a CC compared to 53 patients (29%) treated with a PS. This difference was statistically significant (p = 0.001).

conclusionThis study suggests that treatment of reduced DRFs with a circumferential cast might cause less fracture redisplacement at 1-week follow-up compared to treatment with a plaster splint. Level of Evidence Level III, Retrospective study.

Indexed as

Casts, SurgicalSplintsAdultFracture DislocationFracture FixationFracture Fixation, InternalHumansRadius FracturesRetrospective StudiesBoneCircumferential castDistal radius fractureFractureRedisplacementSplint

Identifiers

PMID34930350
PMCPMC8686220
OpenAlexW4200347112

What OpenQuestion holds

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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.