Evidence map›Paper›PMID 38947262›Full record

ArticleWorld journal of orthopedics2024

Hemiarthroplasty for irreparable distal radius fractures in the elderly: A comprehensive review.

Adriano Cannella, Ludovico Caruso, Giulia Maria Sassara, Giuseppe Taccardo, Marco Passiatore, Marina Marescalchi, Rocco De Vitis

Abstract read
In one paragraph

Article in World journal of orthopedics, 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
–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

3 citing papers in PubMed.

  1. ESTES recommendations regarding distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    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.

Adriano CannellaDepartment of Orthopaedics, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Ludovico CarusoDepartment of Orthopaedics, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Giulia Maria SassaraDepartment of Orthopaedics, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Giuseppe TaccardoDepartment of Orthopaedics, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Marco PassiatoreDepartment of Bone and Joint Surgery, ASST - Spedali Civili, Brescia 25123, Italy.
Marina MarescalchiDepartment of Orthopaedics, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy.
Rocco De VitisDepartment of Orthopaedics, Fondazione Policlinico Universitario A Gemelli IRCCS, Rome 00168, Italy. roccodevitis@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElderly patients maintaining functional independence can now be candidates for primary wrist hemiarthroplasty to manage acute irreparable distal radius fractures (DRFs). However, further investigation with long-term follow-up is required to validate these initial findings.

aimTo review the literature on the outcomes of distal radius hemiarthroplasty with available implants to assess its viability as a treatment option.

methodsA comprehensive review of the literature was conducted using electronic databases, including PubMed, Medline, and Scopus. The search terms employed were "distal radius fracture" , "hemiarthroplasty" , "wrist arthroplasty" , and related terminology. The search was restricted to articles published in English from 1980 until June 2023. Inclusion criteria encompassed cases or case series of DRF treated with hemiarthroplasty, providing clinical or radiographic outcomes, and published in peer-reviewed journals.

resultsA total of 2508 articles from PubMed and 883 from Scopus were identified initially. Following screening and removal of duplicates, 13 articles met the inclusion criteria. These articles, predominantly clinical retrospective studies, provided insights into hemiarthroplasty outcomes, including functional improvements and complications. Hemiarthroplasty was a treatment option for complex DRF, particularly those cases with severe comminution, intraarticular involvement, or severe osteoporosis. Functional outcomes demonstrated improvements in pain relief, wrist mobility, and grip strength, with variability across studies. Complications included implant loosening, infection, nerve injury, and stiffness, with varying incidence rates influenced by surgical techniques and implant choice. Long-term outcomes were inadequately documented, warranting further research.

conclusionHemiarthroplasty is a promising treatment for irreparable DRF in the elderly. Long-term outcomes and complications require further study.

Indexed as

ElderlyHemiarthroplastyIrreparable distal radius fractureOsteoporosisWrist prosthesis

Identifiers

PMID38947262
PMCPMC11212533

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