Evidence map›Paper›PMID 39928804›Full record

SynthesisMedicine2025

Arthroscopic-assisted versus fluoroscopic-assisted open reduction and internal fixation for distal radius fracture: A systematic review and meta-analysis.

Keyi Chen, Shun Yang, Yabo Cheng, Wang Xiang

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Keyi ChenDepartment of Hand and Wrist Surgery, Sichuan Province Orthopaedic Hospital, Chengdu, Sichuan, China.ORCID 0009-0002-7933-0389
Shun Yang
Yabo Cheng
Wang Xiang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, there has been an increasing trend in the use of wrist arthroscopy to facilitate the treatment of distal radius fractures using open reduction and internal fixation (ORIF). However, there is no consensus on its superiority despite some previous studies comparing these 2 surgical techniques. Hence, this study sought to conduct a systematic comparison of the effectiveness and safety of arthroscopic-assisted open reduction and internal fixation (AAORIF) and fluoroscopic-assisted open reduction and internal fixation (FAORIF) in the management of distal radius fractures.

methodsA comprehensive search was conducted in multiple databases to acquire all literature published until January 31st, 2024, comparing AAORIF versus FAORIF for the treatment of distal radius fracture, without any language or publication status restrictions. The Cochrane Collaboration's RevMan 5.4 software was used to perform a meta-analysis.

resultsFive randomized controlled trials (169 patients in the AAORIF group and 171 patients in the FAORIF group) suggested that patients with distal radius fracture treated with AAORIF had better disability of arm, shoulder, and hand scores, visual analog scale score, and wrist extension than those treated with FAORIF. However, no significant differences were observed in terms of wrist flexion, pronation, supination, operative time, and complication outcomes between the 2 groups.

conclusionDespite the lack of significant differences in wrist flexion, pronation, supination, operative time, and complication outcomes between the 2 groups, the AAORIF group had more obvious advantages in terms of disability of arm, shoulder, and hand scores, visual analog scale score, and wrist extension based on the above results. We believe that treatment of distal radius fracture with AAORIF may be an optimal option compared with FAORIF. Absolutely, and additional high-quality studies with larger sample sizes are necessary to establish stronger evidence regarding this subject.

Indexed as

ArthroscopyFracture Fixation, InternalOpen Fracture ReductionRadius FracturesFluoroscopyHumansRandomized Controlled Trials as TopicTreatment OutcomeWrist Fractures

Identifiers

PMID39928804
PMCPMC11813034

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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.