Trial reportJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2024
Comparison of surgical and conservative therapy in older patients with distal radius fracture: a prospective randomized clinic al trial.
Trial report in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
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.
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Who cites it
13 citing papers in PubMed.
- An Acta Orthopaedica educational article: Choosing treatment with an elderly patient having a distal radius fracture.Acta orthopaedica · 2026Review
- Article
- [Analysis of risk factors for postoperative loss of reduction in unstable distal radius fractures and development of a nomogram prediction model].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Comparative Discriminative Performance of Cast, Gap, and Three-Point Indices in Predicting Malunion in Elderly Patients with Conservatively Treated Distal Radius Fractures.Medicina (Kaunas, Lithuania) · 2026Article
- Comparison of Kirschner wire versus volar locking plate fixation for distal radius fractures: clinical and functional outcomes.Acta orthopaedica et traumatologica turcica · 2026Article
- Non-Surgically Treated Distal Radius Fractures in the Adult Population: A Systematic Review and Meta-analysis.Hand (New York, N.Y.) · 2026Review
- Second Metacarpal Index as a Predictor of Secondary Displacement in Conservatively Treated Distal Radius Fractures.Medicina (Kaunas, Lithuania) · 2026Article
- Therapeutic efficacy of minimally invasive techniques in shoulder/knee/tibial shaft fractures.American journal of translational research · 2026Article
- Poor fracture alignment equals poor outcome? Analysis of conservatively managed distal radius fractures.Archives of orthopaedic and trauma surgery · 2025Article
- Article
- [Poster Fusion Cage combined with xenogeneic bone graft augmentation for bone defect management in distal radius fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Comparative analysis of closed reduction with external fixation versus closed reduction with percutaneous pinning for distal radius fractures.Scientific reports · 2025Article
- Surgical vs. Conservative Treatment of Distal Radius Fractures in the Elderly: A Systematic Review and Meta-Analysis.Cureus · 2024Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe distal radius fracture is considered the most common fracture in humans. For fractures classified as Arbeitsgemeinschaft für Osteosynthese (AO) 23-C1 + C2, there is no consensus on treatment in older patients due to inconsistent study results. The aim of this study was to compare conservative and surgical treatment in relation to wrist function and satisfaction in patients older than 65 years.
methodsIn this prospective randomized clinical trial, patients aged older than 65 years who suffered an isolated AO-classified C1 or C2 distal radius fracture were randomized to surgical treatment using palmar plate osteosynthesis or conservative treatment. Patient-rated wrist evaluation (PRWE) score and disabilities of arm, shoulder, and hand (DASH) was assessed 3, 6 and 12 months post-interventionally. Satisfaction, range of motion (ROM) and pain scores were evaluated at 6 weeks and 3, 6 and 12 months post-interventionally.
resultsA total of 80 patients with a mean age of 77.3 years (± 6.1 years) in the conservative group and 72.5 years (± 5.3 years) in the surgery group were included. Both the PRWE score, and the DASH score showed a statistically significant difference between the two groups after 3 months, 6 months and 12 months (p < 0.001). Patients in the surgical cohort showed a statistically significant higher satisfaction at the 6-week, 6-month and 12-month follow-up (p < 0.001 6 weeks + 12 months; p = 0.004 6 months).
conclusionIn this prospective randomized study, surgical treatment proved to be superior to conservative treatment in terms of the primary outcome variable PRWE score. Satisfaction was significantly better in the surgical group.
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