Evidence map›Paper›PMID 38642122›Full record

Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

A prospective randomized control trial comparing outcomes of casting, pinning, and plating for distal end of radius fractures (AO type A2, A3, C1, or C2) in the elderly population.

Owais Ahmed, Pradeep Balakrishnan, Ramesh Perumal, Devendra Agraharam, Purnaganapathi Sundaram Velmurugesan, Dheenadhayalan Jayaramaraju, Shanmuganathan Rajasekaran

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. 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
1.7field-weighted citation impact, top 17% 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, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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 at 1 institution in 1 country.

Owais AhmedDepartment of Orthopaedics and Trauma, Ganga Medical Center and Hospital Pvt LTD., 313, Mettupalayam Road, Coimbatore, 641043, India.ORCID http://orcid.org/0000-0002-6242-0137
Pradeep BalakrishnanDepartment of Orthopaedics and Trauma, Ganga Medical Center and Hospital Pvt LTD., 313, Mettupalayam Road, Coimbatore, 641043, India.
Ramesh PerumalDepartment of Orthopaedics and Trauma, Ganga Medical Center and Hospital Pvt LTD., 313, Mettupalayam Road, Coimbatore, 641043, India. orthoram@gmail.com.ORCID http://orcid.org/0000-0001-7573-6299
Devendra AgraharamDepartment of Orthopaedics and Trauma, Ganga Medical Center and Hospital Pvt LTD., 313, Mettupalayam Road, Coimbatore, 641043, India.
Purnaganapathi Sundaram VelmurugesanDepartment of Orthopaedics and Trauma, Ganga Medical Center and Hospital Pvt LTD., 313, Mettupalayam Road, Coimbatore, 641043, India.
Dheenadhayalan JayaramarajuDepartment of Orthopaedics and Trauma, Ganga Medical Center and Hospital Pvt LTD., 313, Mettupalayam Road, Coimbatore, 641043, India.
Shanmuganathan RajasekaranDepartment of Orthopaedics and Spine Surgery, Ganga Medical Center and Hospital, Coimbatore, India.
Ganga Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith this prospective randomized control trial (RCT), we aim to provide the outcome analyses of the three most used treatment modalities for distal end of radius (DER) fracture management in the elderly.

methodsA prospective randomized control trial was performed. Fifty-two patients with DER fractures (AO A2, A3, C1, or C2) were randomized to the casting (n = 17), percutaneous pinning (n = 18), and the volar plating group (n = 17). Radiological measurements measured were radial inclination (RI), radial height (RH), volar tilt (VT), and ulnar variance (UV). The outcome was measured based on range-of-motion, grip strength, Patient-Related-Wrist-Evaluation (PRWE) score, and the Quick-Disabilities-of-the-Arm-Shoulder-Hand (QDASH) score.

resultsImmediate post-operative and 1-year-follow-up X-rays showed a significant difference measurement between the groups (p < 0.05). Pairwise comparisons of the casting and pinning groups (p < 0.05) and the casting and plating groups (p < 0.05) revealed significant differences at the 1-year follow-up, but not the pinning and plating groups (p > 0.05). The analysis found significant differences in clinical outcomes after 1 month of follow-up, with the plating group outperforming the other two (p > 0.05). However, after a year of follow-up, all groups had comparable outcomes; however, the plating group showed improved palmar flexion (p < 0.001), radial deviation (p < 0.001), and a lower PRWE score (p < 0.05), indicating better wrist function. Complications were more in casting group.

conclusionThe study found a radiologically significant difference between groups throughout the follow-up, but it did not affect functional results. Clinical outcomes were similar across the groups, with plating showing better palmar flexion and radial deviation. Grip strength was also better in the plating group, but statistically insignificant. The study suggests plating should be chosen over other treatments for high-demand patients.

Indexed as

Bone NailsBone PlatesCasts, SurgicalFracture Fixation, InternalHand StrengthRadius FracturesRange of Motion, ArticularAgedAged, 80 and overFemaleHumansMaleProspective StudiesRadiographyTreatment OutcomeCastingDistal radius fractureElderlyFunctional outcomePinningPlating

Identifiers

PMID38642122
OpenAlexW4394980018

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.