Below- or above-elbow immobilization in conservative treatment of distal radius fractures: a systematic review and meta-analysis

Injury ◽  
2021 ◽  
Author(s):  
Natsumi Saka ◽  
Shota Hoshika ◽  
Madoka Inoue ◽  
Jun Watanabe ◽  
Masahiro Banno
Keyword(s):  
Systematic Review ◽  
Conservative Treatment ◽  
Distal Radius ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Radius Fractures

scholarly journals Complications of Distal Radius Fractures in the Elderly: A Systematic Review and Meta-analysis

2017 ◽  
Vol 42 (9) ◽  
pp. S8 ◽  
Author(s):  
Paul Kooner ◽  
Rajeshwar S. Sidhu ◽  
Joy MacDermid ◽  
Ruby Grewal
Keyword(s):  
Systematic Review ◽  
Distal Radius ◽  
Meta Analysis ◽  
The Elderly ◽  
Distal Radius Fractures ◽  
Radius Fractures

Predictors of unstable distal radius fractures: a systematic review and meta-analysis

2015 ◽  
Vol 41 (5) ◽  
pp. 501-515 ◽  
Author(s):  
M. M. J. Walenkamp ◽  
S. Aydin ◽  
M. A. M. Mulders ◽  
J. C. Goslings ◽  
N. W. L. Schep
Keyword(s):  
Systematic Review ◽  
Distal Radius ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Level Of Evidence ◽  
Increased Risk ◽  
Closed Treatment ◽  
Secondary Displacement ◽  
Type 3

The aim of this study was to perform a systematic review in order to identify predictors of secondary displacement in distal radius fractures. We performed a systematic review and identified all studies that reported secondary displacement following distal radius fractures. Where possible, we pooled the odds ratios of predictors. The initial search yielded 3178 studies of which 27 were included. Multiple studies found that age, shortening, volar comminution, loss of radial inclination, the presence of a volar hook, AO type 3 fractures (A3, B3, C3) and the Older classification were significant predictors of secondary displacement. Pooling revealed a significantly increased risk of secondary displacement in fractures with dorsal comminution, in women and in patients aged >60 years. An associated ulna fracture or intra-articular involvement does not result in an increased risk of secondary displacement. The overview provided in this study can help surgeons to inform patients of the chances of success of closed treatment regarding the radiological outcome and facilitate shared decision making. Level of evidence: II

Outcome Metrics in the Treatment of Distal Radius Fractures in Patients Aged Above 50 Years: A Systematic Review

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
Nathaniel Fogel ◽  
Kevin Mertz ◽  
Lauren M. Shapiro ◽  
Allison Roe ◽  
Sahitya Denduluri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Physical Examination ◽  
Outcome Measures ◽  
Distal Radius ◽  
Meta Analysis ◽  
Final Analysis ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Patient Reported ◽  
Level I

Background The inclusion of patient-reported outcome measures (PROMs) serves to better quantify aspects of patient outcomes missed with objective measures, including radiographic indices and physical examination findings. We hypothesize that PROMs are inconsistently and heterogeneously captured in the treatment of distal radius fractures. Methods We performed a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines of all level I and II randomized controlled trials (RCTs) of distal radius fracture treatment of any modality for those older than 50 years of age from January 2008 to January 2018. A total of 23 studies were included in the final analysis. The metrics used by each study to assess outcomes were collected, compared, and described. Results Physical examination findings and radiographic measures were reported in 70% and 74% of studies, respectively. Patient-reported outcomes measures were used to assess outcomes in 74% of studies. Only the Disabilities of the Arm, Shoulder, and Hand was used in greater than half of the studies (57%). Pain scores were assessed in 39% of studies and complications in only 26%. Conclusions There is substantial heterogeneity and lack of standardization in the collection of both objective outcome measures and PROMs in level I and II RCTs for the treatment of distal radius fractures. The ability to compare between studies or aggregate data among studies is therefore limited. Radiographic and physical examination findings remain frequently reported despite known limitations of these metrics. The routine collection of PROMs after the treatment of distal radius fractures can ensure care is directed toward improving what is most important to patients.

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