scholarly journals Internal fixation versus conservative treatment for displaced distal radius fractures: a meta-analysis of randomised controlled trials

2015 ◽  
Author(s):  
Guang-shu Yu
Keyword(s):  
Conservative Treatment ◽  
Internal Fixation ◽  
Distal Radius ◽  
Randomised Controlled Trials ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Controlled Trials ◽  
Radius Fractures ◽  
Randomised Controlled

Percutaneous pinning versus volar locking plate internal fixation for unstable distal radius fractures: a meta-analysis

2017 ◽  
Vol 43 (2) ◽  
pp. 158-167 ◽  
Author(s):  
Fei Peng ◽  
Yuan-xiang Liu ◽  
Zhen-yu Wan
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Meta Analysis ◽  
Pain Syndrome ◽  
Open Reduction Internal Fixation ◽  
Distal Radius Fractures ◽  
Percutaneous Pinning ◽  
Radius Fractures ◽  
Level Of Evidence ◽  
Randomised Controlled

This meta-analysis compared outcomes between percutaneous pinning/wiring and open reduction internal fixation (ORIF) with locking plates for treatment of unstable distal radius fractures. Medline, Cochrane, EMBASE, and Google Scholar were searched through December 30, 2015. Twenty randomised controlled trials (RCTs) and non-randomised two-arm studies were included. Outcomes included scores of Disabilities of the Arms, Shoulders and Hands (DASH), visual analogue scale (VAS) pain, and patient rated wrist evaluation (PRWE) score, as well as range of motion (ROM) and complication incidence. ORIF/plating was associated with lower DASH scores but longer procedure time, while there was no difference between the two methods with respect to VAS pain score and PRWE score. The overall incidence of complications, including complex regional pain syndrome, was higher with pinning/wiring, though the incidence of carpal tunnel syndrome and nerve defects was not different. Supination and grip strength were better with ORIF. Radiographically, ulnar variation was greater with pinning/wiring. These results suggest that ORIF/plating is the preferred method of managing unstable distal radius fractures. Level of evidence: II

scholarly journals Role And Outcomes of Conservative Treatment in Management of Rotator Cuff Tears: A Systematic Review of Randomised Controlled Trials

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Andrew Arjun Sayampanathan ◽  
Marcus Wei Ping Tan ◽  
Denny Tjiauw Tjoen Lie
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Conservative Treatment ◽  
Randomised Controlled Trials ◽  
Meta Analysis ◽  
Rotator Cuff Tears ◽  
Treatment Modalities ◽  
Primary Data ◽  
Controlled Trials ◽  
Randomised Controlled

Rotator cuff tears are known to result in significant societal burden. This review synthesises the evidence regarding the role and outcomes of conservatively managed rotator cuff tears. 17 prospective randomised controlled trials (RCTs) (Level 1 and 2 studies) were included in this systematic review. Modalities which were studied were classified into physical rehabilitative modalities, electrophysiological rehabilitative modalities, biological therapies, and pharmacologic therapies. Outcomes which were evaluated in the included RCTs comprised of clinical outcomes, functional outcomes, pain scores, quality of life scores, imaging based outcomes, and patient satisfaction scores. As the modalities and outcomes studied were varied, no quantitative analysis could be performed based on the primary data available. Nevertheless, most studies do suggest that conservative treatment remains beneficial for the management of rotator cuff tears. Based on these findings, an algorithm which proposes conservative therapy as the central mode of management for rotator cuff tear patients has been described. More high-quality studies are required in this area of study to allow for a quantitative review (meta-analysis and meta-regression) of the various non-surgical treatment modalities of rotator cuff tears. Keywords: Rotator Cuff Tears; Conservative; Non-operative; Management; Randomised controlled trials; Review.

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