Evidence map›Paper›PMID 41947167›Full record

Trial reportTrials2026

Comparison of surgical and conservative treatments for distal radius fractures in the elderly: a multicenter, randomized, single-blind (DART study).

Weilu Gao, Zhengfeng Jia, Cheng Xu, Guiyou Wu, Changsen Yang, Hao Zhang, Daofeng Wang, Jiantao Li

Abstract readMulticenter StudyComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Minimally Invasive Treatment of Die-Punch Fractures and Related X-Ray Parameters.Geriatric orthopaedic surgery & rehabilitation · 2026
    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

8 authors.

Weilu Gao *Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, China.
Zhengfeng Jia *Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, China.
Cheng XuSenior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, China.
Guiyou WuSenior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, China.
Changsen YangSenior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, China.
Hao ZhangSenior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, China. 81954819@qq.com.
Daofeng WangBeijing Jishuitan Hospital, Beijing, China. dfwang301@163.com.
Jiantao LiSenior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, China. lijiantao618@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDistal radius fractures (DRFs) are a global public health issue and represent the second most common type of fracture among the elderly. There remains controversy in the orthopedic community regarding the optimal treatment strategy for DRFs.

methodsWe will conduct a multicenter, randomized, single-blind, controlled trial to assess the efficacy of surgical versus conservative treatment for distal radius fractures in elderly patients. Sample size calculations are based on the PRWE score, aiming to randomize 456 participants in a 1:1 ratio. Once randomized, patients will be followed for 24 months post-treatment. The primary outcome will be wrist function reported by patients within the first year post-injury. Secondary outcomes include QUICKDASH scores, VAS scores, EQ-5D-3L scores, range of wrist motion, grip strength, complications, and patient satisfaction. Additionally, the study will evaluate the economic and social benefits using statistical methods. DISCUSSION: There is no definitive answer as to whether elderly patients with displaced distal radius fractures universally benefit from surgery. However, current literature suggests that surgery does not provide significant advantages. Through this study, we aim to provide the highest quality evidence to determine the optimal treatment strategy for distal radius fractures in patients aged 60 and above, thereby enhancing post-trauma recovery for the elderly.

trial registrationThis study had been registered in the Chinese Clinical Trials Registry. REGISTRATION NUMBER: ChiCTR2400080223 on January 24, 2024. https://www.chictr.org.cn .

Indexed as

Conservative TreatmentFracture FixationRadius FracturesWrist FracturesAgedAged, 80 and overAge FactorsFemaleHand StrengthHumansMaleMiddle AgedPatient SatisfactionRange of Motion, ArticularRecovery of FunctionSingle-Blind MethodConservative treatmentDistal radius fracturesEconomic benefitsPatient satisfactionSurgical treatment

Identifiers

PMID41947167
PMCPMC13188810

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Registered trials

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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.