Volar locking plate versus external fixation for unstable distal radius fractures: a systematic review and meta-analysis based on randomized controlled trials
| Autor: | Li Xu, Qi Gou, He Yuanliang, Xiong Xiong, Cao Dan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Sports medicine Radiography medicine.medical_treatment Diseases of the musculoskeletal system law.invention 03 medical and health sciences External fixation Grip strength Fracture Fixation Internal 0302 clinical medicine Rheumatology Randomized controlled trial law Fracture Fixation Internal medicine Dash medicine Humans Orthopedics and Sports Medicine Distal radius fractures 030212 general & internal medicine Range of Motion Articular Randomized Controlled Trials as Topic 030222 orthopedics RCTs Hand Strength business.industry Research Surgery Meta-analysis Treatment Outcome RC925-935 Orthopedic surgery Putcome business Radius Fractures Bone Plates Volar locking plates |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-14 (2021) |
| ISSN: | 1471-2474 |
| Popis: | Background The outcomes for volar locking plate (VLP) and external fixation (EF) in distal radius fracture cases remain controversial. The current study of randomized controlled trials (RCTs) aimed to assess VLP and EF, which might benefit distal radius fracture cases. Methods RCTs comparing VLP and EF in distal radius fracture cases, until 18 March 2020, were systematically reviewed and summarized. The functional and radiographic outcomes, together with complications, for distal radius fracture cases, were evaluated. Results In total, 12 studies comprising 1205 distal radius fracture cases were included. The VLP group had observed lower disability in the arm shoulder and hand score (DASH) at 3rd, 6th, and 12th -month post-operation, with the mean differences (MDs) of − 10.43 (95 % CI = − 15.77 to − 5.08, P P = 0.02), and − 4.13 (95 % CI = − 6.94 to − 1.33, P P P P = 0.04) at 6th month. No significant differences in radiographic outcomes were observed between the VLP and EF groups (P > 0.05). The VLP group had a lower complication rate than that in the EF group. Conclusions VLP had a lower DASH score and VAS score but with lower grip strength. No significant differences in radiographic outcomes were observed. VLP had a lower complication rate than that of EF. |
| Databáze: | OpenAIRE |
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