Evidence map›Paper›PMID 37880202›Full record

ArticleOrthopaedic surgery2023

Clinical Outcomes of Minimally Invasive Fixation with Pre-Bent Elastic Stable Intramedullary Nails for the Treatment of Distal Radius Metaphyseal Diaphysis Junction Fractures in Children.

Limeng Yang, Shuqin Wang, Jindi Xu, Changzong Deng, Kai Wang, Qing Li, Hua Zhou, Hongfeng Ruan, Wei Zhuang

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

Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  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 at 1 institution in 1 country.

Limeng YangResearch Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.ORCID https://orcid.org/0009-0003-7311-3620
Shuqin WangResearch Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Jindi XuResearch Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Changzong DengResearch Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Kai WangResearch Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Qing LiResearch Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Hua ZhouResearch Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Hongfeng RuanInstitute of Orthopaedics and Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou, China.ORCID https://orcid.org/0000-0001-8868-9313
Wei ZhuangResearch Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Zhejiang Chinese Medical University · CN

Funding

Hangzhou Health Science and Technology Project B20210628National Natural Science Foundation of China 82174140Natural Science Foundation of Zhejiang Province NLY22H270003Research Project of Zhejiang Chinese Medical University Affiliated Hospital 2022FSYYZZ05Zhejiang Chinese Medical University School-level Education and Teaching Reform Project CY22001Zhejiang Medical and Health Science and Technology Project 2019KY547Zhejiang Medical and Health Science and Technology Project 2023ZL134Zhejiang Medical and Health Science and Technology Project 2023ZL606
6 · The paper itself

Abstract

objectiveAlthough mini-plate fixation is an attractive treatment option for distal radius metaphyseal diaphysis junction (DRMDJ) fractures in children, the benefits of minimally invasive fixation (MIF) with pre-bent elastic stable intramedullary nails (MIF) remain underexplored. Therefore, this study aimed to evaluate the clinical efficacy of MIF administration in children with DRMDJ fractures.

methodsThis retrospective study enrolled 40 patients with DRMDJ fractures who underwent MIF or mini-plate fixation from January 2016 to January 2021. Radiographic parameters, such as palmar inclination and ulnar deflection angle, were examined postoperatively to assess the anatomical reduction of the wrist joint. Clinical outcomes, including the range of wrist flexion and back extension, were examined to analyze the recovery of the wrist range of motion. Additionally, the Gartland-Werley scoring system was used to assess the recovery status of wrist function and healing condition. The student t-test and χ

resultsAll included patients successfully underwent the operation and were followed up for 12-24 months. Patients in the MIF group had a smaller surgical incision length (0.49 ± 0.06 cm) compared to those in the mini-plate fixation group (4.41 ± 0.73 cm) (t = 22.438, p = 0.000). Palmar inclination and ulnar deflection were within the normal range in patients of both groups, and the fractures were successfully anatomically reduced. Moreover, wrist flexion and back extension in the MIF group and mini-plate group were (72.50° ± 0.64° vs. 70.18° ± 0.56°) and (59.55° ± 1.75° vs. 60.04° ± 1.37°), and differences were statistically significant (t = 2.708, p = 0.010 and t = 0.885, p = 0.382, respectively). Furthermore, MIF treatment resulted in a higher proportion of excellent Gartland-Werley scores (94.44%) than mini-plate fixation (86.36%) (p = 0.390). In addition, one case in the mini-plate fixation group experienced re-fracture following the removal of the internal fixation, and the fracture healed after reduction and cast fixation. All patients achieved satisfactory bone healing without other complications.

conclusionCompared with mini-plate fixation, MIF has the advantages of small incision length, superior range of motion of thr wrist joint, and better maintenance of the physiological radian, providing a promising approach for clinical and surgical treatment of DRMDJ fractures.

Indexed as

Fracture Fixation, IntramedullaryRadius FracturesBone PlatesChildDiaphysesFracture Fixation, InternalHumansRadiusRange of Motion, ArticularRetrospective StudiesTreatment OutcomeClinical outcomeDistal radius metaphyseal diaphysis junctionMinimally invasive fixationMini-plate fixationPre-bent elastic stable intramedullary nail

Identifiers

PMID37880202
PMCPMC10694001
OpenAlexW4387950703

What OpenQuestion holds

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LicenceCC BY-NC
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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.