Evidence map›Paper›PMID 37885643›Full record

ArticleJournal of orthopaedic case reports2023

Outcome Analysis of Adult Distal Radius Fractures Managed during COVID-19 Pandemic.

Chandrashekara Maliyappa, Anantha Raghupathi, Dilupa Rupasinghe, Persidiu Iancu, Muawia Mohamed, Layth Qazzaz

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Chandrashekara MaliyappaDepartment of Trauma and Orthopaedics, Southend University Hospital, Westcliff on Sea, Essex, United Kingdom.
Anantha RaghupathiDepartment of Trauma and Orthopaedics, Southend University Hospital, Westcliff on Sea, Essex, United Kingdom.
Dilupa RupasingheDepartment of Trauma and Orthopaedics, Southend University Hospital, Westcliff on Sea, Essex, United Kingdom.
Persidiu IancuDepartment of Trauma and Orthopaedics, Southend University Hospital, Westcliff on Sea, Essex, United Kingdom.
Muawia MohamedDepartment of Trauma and Orthopaedics, Southend University Hospital, Westcliff on Sea, Essex, United Kingdom.
Layth QazzazDepartment of Trauma and Orthopaedics, Southend University Hospital, Westcliff on Sea, Essex, United Kingdom.
Southend University Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: COVID-19 pandemic created extreme pressure situation on health care services across the globe with shortage of medical staff and beds. The management of fragility fracture also affected significantly. The distal radius fractures (DRFs) are one of the common frailty fractures. There was a significant shift in the treatment of such injuries with new guidelines leaning toward more of non-operative management. Case Report: A retrospective cross-sectional study of DRFs (DRF) treated during COVID pandemic for a period of 1 year in the United Kingdom. This included all radiologically confirmed cases of DRFs with isolated adult injuries excluding polytrauma, same limb other injuries, associated neurovascular injuries, and age below 18 years. All patient's data were collected from hospital records retrospectively from April 2020 to March 2021. There were a total of 179 patients with distal radius fracture, of which 141 (78.8%) were females and 38 (21.2%) males. The mean age was 68.2 years (SD 68.20 ± 15.63) and there were greater number of patients with intra-articular fracture. There were 28.5% (Grades 1 and 2, Group I) extra-articular fractures; 69.8% (Grades 3-8, Group II) were intra-articular fractures and 3 Barton's fractures (Group III) accounted to 1.7%. 137 patients were (76.5%) treated to non-operatively and 42 (23.5%) were treated surgically. 135 (75.4%) patients had good and 43 (24%) satisfactory clinical outcomes. 3 (1.6%) patients required osteotomy for malunited fractures. Fracture grade I and II is significantly associated with non-operative procedure (100.0% vs 84.3%) with P < 0.001. Conclusion: This study confirmed that non-operative treatment is still a good option even in intra-articular fractures. Surgical fixation should be considered in young patients and those with higher grade of fracture classification and greater angulation at presentation. A virtual physiotherapy is still a good option.

Indexed as

adultCOVID-19retrospective studyWrist fractures

Identifiers

PMID37885643
PMCPMC10599360
OpenAlexW4387681482

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.