Evidence Table 8 Operative Treatments for Distal Radius Fractures Included and Excluded Articles PDF
Preview Evidence Table 8 Operative Treatments for Distal Radius Fractures Included and Excluded Articles
Evidence Table 1 Nerve Dysfunction After Distal Radius Fracture Reduction Included and Excluded Articles Included or Author Title Reason for Exclusion Henry, et al. A prospective plan to minimise median nerve related complications associated with operatively treated INCLUDED 2007 distal radius fractures Dyer, et al. Does not report patient Predictors of acute carpal tunnel syndrome associated with fracture of the distal radius 2008 oriented outcomes Bienek, et al. Patients do not have nerve Peripheral nerve compression neuropathy after fractures of the distal radius 2006 dysfunction after reduction Fuller, et al. Patients do not have nerve Carpal canal pressures after volar plating of distal radius fractures 2006 dysfunction after reduction Odumala, et al. Patients do not have nerve Prophylactic carpal tunnel decompression during buttress plating of the distal radius--is it justified? 2001 dysfunction after reduction Zoubos, et al. Patients do not have nerve Surgical treatment of 35 volar Barton fractures. No need for routine decompression of the median nerve 1997 dysfunction after reduction Hove, et al. Patients do not have nerve Nerve entrapment and reflex sympathetic dystrophy after fractures of the distal radius 1995 dysfunction after reduction Dresing, et al. Patients do not have nerve Compartment pressure in the carpal tunnel in distal fractures of the radius. A prospective study 1994 dysfunction after reduction Evidence Table 2 Nerve Dysfunction After Distal Radius Fracture Reduction Quality and Design of Prospective Non-Randomized Controlled Studies Author ● = YesnO u /t○aco m ==e Nnoot a×pD =upra ltNiiocnoatb NRleeporteCdom p arison(s) All groups have similar characteristics at entry All groups have similar outcome performance at entry All groups concurrently treated Follow Up - 80% or more Same center for expiremental and control group data Crossover - equal experimental group results Crossover - equal control group results Henry, et al. 10 - 140 MND w/ CTR vs. ● ○ ● ● ● Carpal Tunnel Syndrome 374 n/a n/a 2007 Weeks No MND, no CTR Henry, et al. 10 - 140 MND w/ CTR vs. ● ○ ● ● ● Neuropathic Pain Syndrome 374 n/a n/a 2007 Weeks No MND, no CTR Evidence Table 3 Nerve Dysfunction After Distal Radius Fracture Reduction Prospective Non-Randomized Controlled Studies DATA Author Outcome Duration N Treatment(s) Result Henry, et al. 10 - 140 MND with CTR 0% Carpal Tunnel Syndrome 93 2007 Weeks (Agee) 0/93 patients Henry, et al. 10 - 140 MND with CTR 0% Carpal Tunnel Syndrome 76 2007 Weeks (FCR sheath release of TCL) 0/76 patients Henry, et al. 10 - 140 0% Carpal Tunnel Syndrome 205 No MND, no CTR 2007 Weeks 0/205 patients Henry, et al. 10 - 140 MND with CTR 0% Neuropathic Pain Syndrome 93 2007 Weeks (Agee) 0/93 patients Henry, et al. 10 - 140 MND with CTR 0% Neuropathic Pain Syndrome 76 2007 Weeks (FCR sheath release of TCL) 0/76 patients Henry, et al. 10 - 140 0% Neuropathic Pain Syndrome 205 No MND, no CTR 2007 Weeks 0/205 patients Evidence Table 4 Treatment of Adequately Reduced and Maintained Unstable Distal Radius Fracture Included and Excluded Articles Included or Author Title Reason for Exclusion No studies were identified by the literature search Evidence Table 5 Operative vs. Non-operative Treatment of Unstable Distal Radius Fractures Included and Excluded Articles Included or Author Title Reason for Exclusion Young, et al. Seven-year outcome following Colles' type distal radial fracture. A comparison of two treatment methods INCLUDED 2003 McQueen, et al. Redisplaced unstable fractures of the distal radius: a prospective randomised comparison of four methods INCLUDED 1996 of treatment Abbaszadegan, et al. External fixation of plaster cast for severely displaced Colles' fractures? Prospective 1-year study of 46 INCLUDED 1990 patients Howard, et al. External fixation or plaster for severely displaced comminuted Colles' fractures? A prospective study of INCLUDED 1989 anatomical and functional results Pring, et al. Bipolar fixation of fractures of the distal end of the radius: a comparative study INCLUDED 1988 Abramo, et al. Evaluation of a treatment protocol in distal radius fractures: a prospective study in 581 patients using Not best available evidence 2008 DASH as outcome A randomized, controlled trial of distal radius fractures with metaphyseal displacement but without joint Kreder, et al. incongruity: closed reduction and casting versus closed reduction, spanning external fixation, and optional Enrolls only stable fractures 2006 percutaneous K-wires Zheng, et al. Reports complications only, A comparison of conservative and surgical treatment of distal radius unstable fracture 2003 < 25 patients Christensen, et al. Plaster cast compared with bridging external fixation for distal radius fractures of the Colles' type Not best available evidence 2001 Kapoor, et al. Displaced intra-articular fractures of distal radius: a comparative evaluation of results following closed Reports complications only, 2000 reduction, external fixation and open reduction with internal fixation < 25 patients Gupta, et al. Colles' fracture: management by percutaneous crossed-pin fixation versus plaster of Paris cast Severity of injury not defined 1999 immobilization Patient oriented outcomes Lagerstrom, et al. Recovery of isometric grip strength after Colles' fracture: a prospective two-year study compare gender not 1999 intervention Stoffelen, et al. Closed reduction versus Kapandji-pinning for extra-articular distal radial fractures Duplicate study 1999 Stoffelen, et al. Conservative treatment versus Kapandji-pinning for extra-articular distal radius fractures Cannot locate publication 1999 Stoffelen, et al. Kapandji pinning or closed reduction for extra-articular distal radius fractures Severity of injury not defined 1998 Evidence Table 5 Operative vs. Non-operative Treatment of Unstable Distal Radius Fractures Included and Excluded Articles Included or Author Title Reason for Exclusion Cohen, et al. Reports complications only, Distal radius fractures: a prospective randomized comparison of fibreglass tape with QuickCast 1997 < 25 patients Rodriguez-Merchan, et al. Plaster cast versus percutaneous pin fixation for comminuted fractures of the distal radius in patients Reports complications only, 1997 between 46 and 65 years of age < 25 patients vanDijk, et al. Dynamic external fixation versus non-operative treatment of severe distal radial fractures Not best available evidence 1996 Merchan, et al. Plaster cast versus Clyburn external fixation for fractures of the distal radius in patients under 45 years of Severity of injury not reported 1992 age Shankar, et al. Reports complications only, Comminuted Colles' fractures: a prospective trial of management 1992 < 25 patients Stein, et al. Reports complications only, Cast or external fixation for fracture of the distal radius. A prospective study of 126 cases 1990 < 25 patients Kongsholm, et al. Plaster cast versus external fixation for unstable intraarticular Colles' fractures Not best available evidence 1989 Solgaard, et al. External fixation or a cast for Colles' fracture Not best available evidence 1989 Solgaard, et al. Displaced distal radius fractures. A comparative study of early results following external fixation, functional Not best available evidence 1989 bracing in supination, or dorsal plaster immobilization Boyd, et al. The outcome of fractures of the distal radius in young adults Not best available evidence 1988 Jenkins, et al. Does not report patient External fixation and recovery of function following fractures of the distal radius in young adults 1988 oriented outcomes Kaukonen, et al. Functional recovery after fractures of the distal forearm. Analysis of radiographic and other factors Not best available evidence 1988 affecting the outcome Schmalholz, et al. Does not report patient A scintimetric study of Colles' fracture. Comparison between cementation and closed treatment 1988 oriented outcomes Jenkins, et al. Reports complications only, External fixation of Colles' fractures. An anatomical study 1987 < 25 patients Evidence Table 6 Operative vs. Non-operative Treatment of Unstable Distal Radius Fractures Quality and Design of Randomized Controlled Trials Author ● = YesnO u /t○aco m ==e Nnoot a×pD =upra ltNiiocnoatb NRleeportedTre a tment(s) Stochastic Randomization Allocation Concealment Patients Blinded Those rating outcome Blinded Follow Up - 80% or more All groups have similar outcome performance at entry Crossover - equal experimental group results Crossover - equal control group results Young, et al. External fixation - bridging vs. × ● ○ ○ ○ × Pain free 7 Years 85 n/a n/a 2003 Cast McQueen, et al. External fixation - bridging vs. × ● ○ ○ ● × Complications n/a 109 n/a n/a 1996 Cast Abbaszadegan, et al. External fixation - bridging vs. × × ○ ○ ● ● Function - VAS 8 Weeks 46 n/a n/a 1990 Cast Abbaszadegan, et al. External fixation - bridging vs. × × ○ ○ ● ● Pain - VAS 8 Weeks 46 n/a n/a 1990 Cast Abbaszadegan, et al. External fixation - bridging vs. × × ○ ○ ● ● Function - VAS 12 Weeks 46 n/a n/a 1990 Cast Abbaszadegan, et al. External fixation - bridging vs. × × ○ ○ ● ● Pain - VAS 12 Weeks 46 n/a n/a 1990 Cast Abbaszadegan, et al. External fixation - bridging vs. × × ○ ○ ● ● Function - VAS 24 Weeks 46 n/a n/a 1990 Cast Abbaszadegan, et al. External fixation - bridging vs. × × ○ ○ ● ● Pain - VAS 24 Weeks 46 n/a n/a 1990 Cast Abbaszadegan, et al. External fixation - bridging vs. × × ○ ○ ● ● Function - VAS 1 Year 46 n/a n/a 1990 Cast Abbaszadegan, et al. External fixation - bridging vs. × × ○ ○ ● ● Pain - VAS 1 Year 46 n/a n/a 1990 Cast Howard, et al. External fixation - bridging vs. × × ○ ○ ● ● Complications n/a 50 n/a n/a 1989 Cast Pring, et al. Bipolar fixation vs. × × ○ × ● ● Complications n/a 67 n/a n/a 1988 Cast Evidence Table 7 Operative vs. Non-operative Treatment of Unstable Distal Radius Fractures Randomized Controlled Studies DATA Author Outcome Duration N Treatment(s) Operative Non-operative Young, et al. External fixation - bridging vs. 83% 79% Pain free 7 Years 85 2003 Cast (30/36 patients) (39/49 patients) Abbaszadegan, et al. † External fixation - bridging vs. 7 (range: NR) Function - VAS 8 Weeks 46 5 (range: NR) 1990 Cast p = 0.1* Abbaszadegan, et al. † External fixation - bridging vs. 7 (range: NR) Function - VAS 12 Weeks 46 7 (range: NR) 1990 Cast p = 0.7* Abbaszadegan, et al. † External fixation - bridging vs. 9 (range: NR) Function - VAS 24 Weeks 46 8 (range: NR) 1990 Cast p = 0.1* Abbaszadegan, et al. † External fixation - bridging vs. 10 (range: NR) Function - VAS 1 Year 46 9 (range: NR) 1990 Cast p = 0.02* Abbaszadegan, et al. ‡ External fixation - bridging vs. 2 (range: NR) Pain - VAS 8 Weeks 46 3 (range: NR) 1990 Cast p = 0.4* Abbaszadegan, et al. ‡ External fixation - bridging vs. 1 (range: NR) Pain - VAS 12 Weeks 46 2 (range: NR) 1990 Cast p = 0.1* Abbaszadegan, et al. ‡ External fixation - bridging vs. 0.5 (range: NR) Pain - VAS 24 Weeks 46 2 (range: NR) 1990 Cast p = 0.009* Abbaszadegan, et al. ‡ External fixation - bridging vs. 0 (range: NR) Pain - VAS 1 Year 46 1 (range: NR) 1990 Cast p = 0.002* †: median score 0 - 10 where 10 is normal function (unit of measurement not reported); ‡: median score 0 - 10 (unit of measurement not reported), * reported by author(s) Evidence Table 8 Operative Treatments for Distal Radius Fractures Included and Excluded Articles Included or Author Title Reason for Exclusion Krukhaug, et al. External fixation of fractures of the distal radius: a randomized comparison of the Hoffman compact II non- INCLUDED 2009 bridging fixator and the Dynawrist fixator in 75 patients followed for 1 year Egol, et al. Bridging external fixation and supplementary Kirschner-wire fixation versus volar locked plating for INCLUDED 2008 unstable fractures of the distal radius: a randomised, prospective trial Leung, et al. Comparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial INCLUDED 2008 fractures. A randomized study vanManen, et al. Bio-resorbable versus metal implants in wrist fractures: a randomised trial INCLUDED 2008 Kreder, et al. Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra- INCLUDED 2005 articular fractures of the distal radius: a randomised, controlled trial Harley, et al. Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal INCLUDED 2004 radius--a prospective randomized trial Krishnan, et al. Intra-articular fractures of the distal radius: a prospective randomised controlled trial comparing static INCLUDED 2003 bridging and dynamic non-bridging external fixation Werber, et al. External fixation of distal radial fractures: four compared with five pins: a randomized prospective study INCLUDED 2003 Hahnloser, et al. Internal fixation of distal radius fractures with dorsal dislocation: pi-plate or two 1/4 tube plates? A INCLUDED 1999 prospective randomized study McQueen, et al. Redisplaced unstable fractures of the distal radius. A randomised, prospective study of bridging versus INCLUDED 1998 non-bridging external fixation Ludvigsen, et al. External fixation versus percutaneous pinning for unstable Colles' fracture. Equal outcome in a INCLUDED 1997 randomized study of 60 patients Hutchinson, et al. Pins and plaster vs external fixation in the treatment of unstable distal radial fractures. A randomized INCLUDED 1995 prospective study Pritchett, et al. External fixation or closed medullary pinning for unstable Colles fractures? INCLUDED 1995 Raskin, et al. Unstable articular fractures of the distal radius. Comparative techniques of ligamentotaxis INCLUDED 1993 Andersen, et al. Colles' Fracture Treated with Non-Bridging External Fixation: A 1-Year Follow-Up Not best available evidence 2009 Figl, et al. Volar fixed-angle plate osteosynthesis of unstable distal radius fractures: 12 months results Not best available evidence 2009 Evidence Table 8 Operative Treatments for Distal Radius Fractures Included and Excluded Articles Included or Author Title Reason for Exclusion Jupiter, et al. Operative management of distal radial fractures with 2.4-millimeter locking plates. A multicenter Not best available evidence 2009 prospective case series Mirza, et al. Fractures of the distal radius treated with cross-pin fixation and a nonbridging external fixator, the CPX Not best available evidence 2009 system: a preliminary report Othman, et al. Fixation of dorsally displaced distal radius fractures with volar plate Not best available evidence 2009 Wong, et al. Palmar fixation of dorsally displaced distal radius fractures using locking plates with Smartlock locking Not best available evidence 2009 screws Abramo, et al. Evaluation of a treatment protocol in distal radius fractures: a prospective study in 581 patients using Not best available evidence 2008 DASH as outcome Adani, et al. The treatment of distal radius articular fractures through lcp system Not best available evidence 2008 Chen, et al. Treatment of Distal Radius Fractures with Percutaneous Pinning and Pin-in-plaster Not best available evidence 2008 Chung, et al. Comparative outcomes study using the volar locking plating system for distal radius fractures in both Not best available evidence 2008 young adults and adults older than 60 years Cooper, et al. A short term functional outcome study comparing closed reduction percutaneous wire fixation with open Not best available evidence 2008 reduction internal fixation for fractures of the distal radius: A pilot study Gerald, et al. Volar plate fixation of AO type C2 and C3 distal radius fractures, a single-center study of 55 patients Not best available evidence 2008 Glickel, et al. Long-term outcomes of closed reduction and percutaneous pinning for the treatment of distal radius Not best available evidence 2008 fractures Grala, et al. Hybrid external fixation for neglected fractures of the distal radius: results after one year Not best available evidence 2008 Hayes, et al. Bridging and non-bridging external fixation in the treatment of unstable fractures of the distal radius: a Not best available evidence 2008 retrospective study of 588 patients Ilyas, et al. Intramedullary fixation of displaced distal radius fractures: a preliminary report Not best available evidence 2008 Lattmann, et al. Comparison of 2 surgical approaches for volar locking plate osteosynthesis of the distal radius Not best available evidence 2008 Lutsky, et al. Arthroscopic assessment of intra-articular distal radius fractures after open reduction and internal fixation Does not report patient 2008 from a volar approach oriented outcomes
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