Trial reportDeutsches Arzteblatt international2022
Routine X-Rays after the Osteosynthesis of Distal Radius and Ankle Fractures.
Trial report in Deutsches Arzteblatt international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Assessing the frequency and utility of orthopaedic outpatient department (OPD) attendances of surgically managed distal radius and ankle fractures.Irish journal of medical science · 2026Review
- Assessing the Need for Imaging after Distal Radius Fracture Fixation.Journal of wrist surgery · 2025Article
- Clinical consequence of the 4-week X-ray control after ESIN osteosynthesis of forearm fractures in children.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- A few-shot learning framework for the diagnosis of osteopenia and osteoporosis using knee X-ray images.The Journal of international medical research · 2024Article
- [Distal radius fracture-tactic and approach].Operative Orthopadie und Traumatologie · 2023Article
- In Reply.Deutsches Arzteblatt international · 2022Article
- Additional Comments.Deutsches Arzteblatt international · 2022Article
Corrections and comments
- Commented on byIn Reply.2022
Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe utility of routine x-rays after the osteosynthesis of distal radius fractures and ankle fractures is questionable. We performed a trial to determine whether such x-rays are justified in patients who have undergone standardized imaging with C-arm fluoroscopy during surgery.
methodsPatients requiring surgery for a distal radius fracture or an ankle fracture were candidates for inclusion in this prospective, randomized, controlled, non-blinded trial. Standardized intraoperative images were obtained with C-arm fluoroscopy and stored at the end of the operation. The next day, patients in the control group underwent imaging with a standard postoperative x-ray, while those in the intervention group did not. The primary endpoint was a change in the treatment plan, defined as additional imaging or a second operation. The secondary endpoints included the range of motion, pain as rated on the Visual Analog Scale, and a functional outcome analysis (PRWE/FAOS).
results316 patients were included in the trial (163 in the control group, 153 in the intervention group), of whom 202 (64%) had radius fractures and 114 (36%) had ankle fractures. The treatment plan changed in twelve patients (3.8%; four in the control group and eight in the intervention group), seven of whom (2.2%; three in the control group and four in the intervention group) underwent a second operation. The frequency of changes in the treatment plan and of reoperations was comparable in the two groups (p = 0.36). On follow-up at six weeks and one year, the results with respect to functional outcomes and pain were comparable.
conclusionIn this trial, routine postoperative x-rays after the osteosynthesis of distal radial fractures and ankle fractures did not improve the care of patients who had undergone standardized intraoperative imaging.
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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.