Evidence map›Paper›PMID 38987723›Full record

SynthesisBMC surgery2024

Non-surgical vs. surgical treatment of distal radius fractures: a meta-analysis of randomized controlled trials.

Chaohua Zhu, Xue Wang, Mengchao Liu, Xiaohui Liu, Jia Chen, Guobin Liu, Gang Ji

Abstract readMeta-AnalysisComparative StudySystematic Review
In one paragraph

Synthesis in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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.

Chaohua Zhu *Department of Orthopedics, The First hospital of Hebei Medical University, 89 Donggang Road, Shijiazhuang, 050031, China.
Xue Wang *Tianjin Key Laboratory of Bone Implant Interface Functionalization and Personality Research, Just Medical Equipment (Tianjin) Co., Ltd, Tianjin, 300190, China.
Mengchao Liu *Department of Orthopedics, The First hospital of Hebei Medical University, 89 Donggang Road, Shijiazhuang, 050031, China.
Xiaohui LiuDepartment of Orthopedics, The First hospital of Hebei Medical University, 89 Donggang Road, Shijiazhuang, 050031, China.
Jia ChenDepartment of Orthopedics, The First hospital of Hebei Medical University, 89 Donggang Road, Shijiazhuang, 050031, China.
Guobin LiuDepartment of Orthopedics, The First hospital of Hebei Medical University, 89 Donggang Road, Shijiazhuang, 050031, China. 123ydyylgb@hebmu.edu.cn.
Gang JiDepartment of Orthopedics, The First hospital of Hebei Medical University, 89 Donggang Road, Shijiazhuang, 050031, China. hbykdxjg@hebmu.edu.cn.

Funding

Natural Science Foundation of Hebei Province H2021206093Research Foundation of Hebei Provincial Administration of Traditional Chinese Medicine 2019128Research Foundation of Hebei Provincial Health Commission 20210068
6 · The paper itself

Abstract

purposeTo compare the clinical outcomes between nonsurgical and surgical treatment of distal radius fracture.

methodsWe performed a systematic literature search by using multiple databases, including Medline, PubMed, and Cochrane. All databases were searched from the earliest records through February 2023. The study compared nonsurgical versus surgical treatment of distal radius fractures and included only randomized controlled trials (RCTS).

resultsThere were seventeen randomized controlled trials retrieved. A total of 1730 patients were included: 862 in the nonsurgical group and 868 in the surgical group. The results showed a significant reduction in DASH score with surgical treatment (WMD 3.98, 95% CI (2.00, 5.95), P < 0.001). And in grip strength (%), the results showed a significant improvement in surgical treatment compared with non-surgical treatment (WMD - 6.60, 95% CI (-11.61, -1.60), P = 0.01). There was significant difference in radial inclination, radial length, volar title, range of wrist pronation, range of wrist supination. However, no difference in radial deviation, ulnar deviation, ulnar variance, range of wrist extension and range of wrist flexion was observed.

conclusionsThe results of this meta-analysis suggest that some patients with surgical treatment of distal radius fractures not only improved the grip strength (%), decreased the DASH score, but also improved the range of wrist pronation and the range of wrist supination compared with nonsurgical treatment. Based on the present meta-analysis, we suggest that some patients with surgical treatment might be more effective in patients with distal radius fracture.

Indexed as

Radius FracturesRandomized Controlled Trials as TopicWrist FracturesConservative TreatmentHand StrengthHumansRange of Motion, ArticularTreatment OutcomeDistal radius fractureMeta-analysisNonsurgicalRandomized controlled trialsSurgicalTreatment

Identifiers

PMID38987723
PMCPMC11234633

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.