A Randomized Controlled Trial of Cast Versus Splint for Distal Radial Buckle Fracture

Williams, K.; Smith, G. Elliot; Luhmann, Scott J.; Mao, Jingnan; Gunn, Joseph D.; Luhmann, Janet D.

doi:10.1097/pec.0b013e31828e56fb

Cited by 60 publications

(48 citation statements)

References 12 publications

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“…Williams, et al (2013) concluded that there was significantly more 'resource utilisation' in cast group that in splint group. Resource utilisation compared in the study included assistant required when immobilisation was placed, time of immobilisation and physician delay of at least one hour from radiograph to immobilisation [28] . Although these might reflect cost, no cost figures were presented.…”

Section: Assessment Of Risk Of Bias In the Included Studiesmentioning

confidence: 99%

“…Davidson, et al (2001) and Karimi, et al (2013) recruited subjects in orthopaedic fracture clinic after they received different intervention when diagnosed in emergency department [6,29] . The other two studies [7,28] can be included with caution and discussion on the risk of bias in both of the two trials.…”

Section: Literature Search and Selection Of Studiesmentioning

confidence: 99%

“…There was disagreement between the two reviewers on the remaining four papers [6,7,28,29] , but, after discussion, it was agreed to apply an appraisal checklist tool on these four papers as potentially included studies. The appraisal checklist tool was adapted from Critical Appraisal Skills Programme (CASP)-2013 [30] .…”

Section: Literature Search and Selection Of Studiesmentioning

confidence: 99%

“…Those in the splint group splints were advised to wear the splint as much as possible. The primary outcome of the study was satisfaction, convenience and pain [28] .…”

Section: Literature Search and Selection Of Studiesmentioning

confidence: 99%

“…Both studies [7,28] carried variable degrees of risk of bias from low to high in different domains and unclear risk in the majority of the domains assessed based on the criteria for judging risks of bias [20] . Detailed outcome of assessment is in Table 3.…”

Section: Assessment Of Risk Of Bias In the Included Studiesmentioning

confidence: 99%

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Comparison of splint and conventional cast for treating wrist torus fractures in children (systematic review)

Alsawadi¹,

Abbas²

2017

Adv Emerg Med

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Wrist torus fractures in children are common. Although it might be simple and straightforward, the management of these injuries remains controversial and depends on the personal experience and preference of the treating physician. The consensus agreement, however, is that these fractures are inherently stable. Some authors argue that splints should replace the traditional method of cast immobilisation. The splints are viewed as easier to use, more convenient and do not require follow up clinics for removal. It has also been argued that splints are more cost-effective than casts. The aim of this systematic review is to examine the effectiveness and cost-effectiveness of removable splints versus casts in the treatment of torus wrist fractures of children in the current literature. This review followed the Systematic reviews and Meta-Analyses (PRISMA) statement for reporting. Comprehensive electronic database search and handsearch were conducted. Studies were considered for review if they were randomised or quasi-randomised controlled trial and compared removable splints and casts for treating torus fractures of distal radius and/or ulna in children. Four papers identified by two reviewers as potentially eligible for inclusion were appraised and two identified for inclusion were further assessed for any risk of bias. Data were narratively presented and discussed as meta-analysis would not have been possible for the identified studies. The limited available data favours the use of splint as a clinically effective and more cost-effective method of immobilisation. However, the findings of the systematic review are limited by the quality of the identified studies. It has been viewed that explanation to patients and parents and involving them in the decision, plus implementation of safety protocol to avoid under-treatment of misdiagnosed fractures and allow easy access of patients to the clinic, is an alternative way to provide safe, convenient and cost-effective treatment.

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Section: Assessment Of Risk Of Bias In the Included Studiesmentioning

confidence: 99%

Section: Literature Search and Selection Of Studiesmentioning

confidence: 99%

Section: Literature Search and Selection Of Studiesmentioning

confidence: 99%

“…Those in the splint group splints were advised to wear the splint as much as possible. The primary outcome of the study was satisfaction, convenience and pain [28] .…”

Section: Literature Search and Selection Of Studiesmentioning

confidence: 99%

Section: Assessment Of Risk Of Bias In the Included Studiesmentioning

confidence: 99%

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