Evidence map›Paper›PMID 37243339›Full record

ArticleHand (New York, N.Y.)2024

Impact of Time to Fixation on Outcomes of Operative Treatment of Intra-articular Distal Radius Fractures.

A Jordan Grier, Kallie J Chen, Alexandra V Paul, Cynthia L Green, Marc J Richard, David S Ruch, Tyler S Pidgeon

Abstract read
In one paragraph

Article in Hand (New York, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

7 authors.

A Jordan GrierUniversity Hospitals Cleveland Medical Center, OH, USA.ORCID 0000-0001-5642-8012
Kallie J ChenUniversity Hospitals Cleveland Medical Center, OH, USA.ORCID 0000-0002-2982-3583
Alexandra V PaulDuke University Medical Center, Durham, NC, USA.
Cynthia L GreenDuke University Medical Center, Durham, NC, USA.
Marc J RichardDuke University Medical Center, Durham, NC, USA.
David S RuchDuke University Medical Center, Durham, NC, USA.
Tyler S PidgeonDuke University Medical Center, Durham, NC, USA.ORCID 0000-0002-0300-2883

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of operative treatment of distal radius fractures (DRFs) has increased recently, but the optimal timing for surgical fixation remains unclear. We hypothesized that: (1) an increase in time to fixation of intra-articular DRFs would increase the likelihood of postoperative complications; and (2) increased time from injury to fixation would lead to longer surgical time and worse range of motion (ROM) outcomes.

methodsWe retrospectively reviewed 299 fractures in 284 adult patients who underwent open reduction and internal fixation (ORIF) of a closed, intra-articular DRF at our institution over a 10.5-year period. Demographic information, time to surgery (TTS) from injury, surgical time, tourniquet time, complications, and final postoperative ROM were collected for logistic regression modeling to predict the risk of postoperative complication.

resultsTwenty-seven (9.0%) patients experienced postoperative complications. The median TTS (Q1-Q3) for all patients was 7.0 (4.0-12.0) days. Patients who experienced an early postoperative complication had significantly longer median TTS (10.0 days) than those who did not (7.0 days). Patients with longer TTS were more likely to experience a complication (odds ratio, 1.11; 95% confidence interval, 1.04-1.19;

conclusionsPatients with operative intra-articular distal radius fractures should ideally be fixed within 7 to 10 days of injury to minimize the risk of early postoperative complications. The tourniquet time and final ROM were not associated with time to surgery.

Indexed as

Fracture Fixation, InternalIntra-Articular FracturesOperative TimePostoperative ComplicationsRadius FracturesRange of Motion, ArticularTime-to-TreatmentAdultAgedFemaleHumansLogistic ModelsMaleMiddle AgedOpen Fracture ReductionRetrospective Studiesdistal radius fracturedistal radius platingwrist fracture

Identifiers

PMID37243339
PMCPMC11536765

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.