Distal radius fractures: Systematic review

M, Milutinovic; Andjelkovic, Zoran; Palibrk, D Tomislav; Zagorac, G Slavisa; Bumbasirevic, Z

doi:10.2298/aci1302029m

Cited by 3 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall quantitative data is provided in Table 2 [9–49]. Seven systematic reviews were excluded after full-text assessment for the following reasons: three Cochrane reviews: one about methods of anaesthesia in DRFs [50], one about rehabilitation after DR treatment [51] and one SR of studies already included [52]; three narrative reviews with no specific scope on treatment [53–55]; and one that considered DRFs complications treatment [56].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the quality of distal radius systematic reviews: Methodology and reporting assessment

et al. 2019

View full text Add to dashboard Cite

BackgroundMany systematic reviews (SRs) have been published about the various treatments for distal radius fractures (DRF). The heterogeneity of SRs results may come from the misuse of SR methods, and literature overviews have demonstrated that SRs should be considered with caution as they may not always be synonymous with high-quality standards. Our objective is to evaluate the quality of published SRs on the treatment of DRF through these tools.MethodsThe methods utilized in this review were previously published in the PROSPERO database. We considered SRs of surgical and nonsurgical interventions for acute DRF in adults. A comprehensive search strategy was performed in the MEDLINE database (inception to May 2017) and we manually searched the grey literature for non-indexed research. Data were independently extracted by two authors. We assessed SR internal validity and reporting using AMSTAR (Assessing the Methodological Quality of Systematic Reviews and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes). Scores were calculated as the sum of reported items. We also extracted article characteristics and provided Spearman’s correlation measurements.ResultsForty-one articles fulfilled the eligibility criteria. The mean score for PRISMA was 15.90 (CI 95%, 13.9–17.89) and AMSTAR was 6.48 (CI 95% 5.72–7.23). SRs that considered only RCTs had better AMSTAR [7.56 (2.1) vs. 5.62 (2.3); p = 0.014] and PRISMA scores [18.61 (5.22) vs. 13.93 (6.47), p = 0.027]. The presence of meta-analysis on the SRs altered PRISMA scores [19.17 (4.75) vs. 10.21 (4.51), p = 0.001] and AMSTAR scores [7.68 (1.9) vs. 4.39 (1.66), p = 0.001]. Journal impact factor or declaration of conflict of interest did not change PRISMA and AMSTAR scores. We found substantial inter observer agreement for PRISMA (0.82, 95% CI 0.62–0.94; p = 0.01) and AMSTAR (0.65, 95% CI 0.43–0.81; p = 0.01), and moderate correlation between PRISMA and AMSTAR scores (0.83, 95% CI 0.62–0.92; p = 0.01).ConclusionsDRF RCT-only SRs have better PRISMA and AMSTAR scores. These tools have substantial inter-observer agreement and moderate inter-tool correlation. We exposed the current research panorama and pointed out some factors that can contribute to improvements on the topic.

show abstract

Section: Resultsmentioning

confidence: 99%

A systematic review of the quality of distal radius systematic reviews: Methodology and reporting assessment

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Common complications include wrist instability, stiffness, nonunion, tendon irritation, infection, and local pain syndrome. [ 1 , 2 ] Wrist stiffness is one of the most common and difficult sequela to treat, up to 30% of DRF patients. [ 3 ] Manipulation is an effective treatment method, but there are problems such as intense pain, swelling and long treatment periods.…”

Section: Introductionmentioning

confidence: 99%

Shi's Yi-Qi Bu-Shen Tong-Luo decoction combined with manipulation in the management of wrist stiffness after distal radius fracture

Wang

Gui

et al. 2020

Medicine

View full text Add to dashboard Cite

Introduction: Wrist stiffness is a common sequela of distal radial fractures. Manipulation is generally used and effective, but problems exist, such as intense pain, swelling during the process of manipulation and long treatment period. Therefore, a combinative therapeutic strategy is necessary to benefit rehabilitation after distal radius fracture. Shi's Yi-Qi Bu-Shen Tong-Luo decoction (BTD) combined with wrist manipulation has been used in the Shanghai Ninth People's Hospital Huangpu Branch in last few decades. BTD has potential therapeutic effects on rehabilitation after distal radius fracture, which should be evaluated by rigorous clinical trial. Methods/design: A randomized, double-blind, placebo-controlled clinical trial will be conducted to determine the efficiency of BTD in relief of wrist stiffness and pain and function rehabilitation. A total of 80 wrist stiffness patients with or without pain and edema will be enrolled, and treated with wrist manipulation plus BTD or placebo for 4 weeks. The primary outcome measure is the Cooney wrist score. The second outcome measures include pain numerical rating scale, patient rated wrist evaluation, 36-item short form health survey questionnaire, and side effects. Discussion: Although BTD has shown effects on rehabilitation after distal radius fracture in the Shanghai Ninth People's Hospital Huangpu Branch for decades, the universality of this efficacy needs evaluated. The results of this trial will provide a convincing evidence. Trial registration: ChiCTR2000029260, January 19, 2020.

show abstract

Experience in treating fractures of both bones of lower third of the left forearm using transosseous compression-distraction osteosynthesis

YAMSHIKOV

2023

Tambov Medical Journal

View full text Add to dashboard Cite

Fractures of the forearm bones are at one of the first places among all fractures in frequency and are considered as a violation of the integrity of the bone tissue structure. Causes can be a fall on the forearm as well as a blow from a heavy object. A fracture of one or both bones of the forearm is a difficult injury to treat and restore. Trauma is relevant among both children and adults. Limb function is significantly lost, and this worsens the quality of life. The diagnosis is established based on the collected medical history, visual examination and data from instrumental examination methods (radiography). For fractures of the forearm bones, treatment tactics are determined individually. It depends on the severity of the injury. The purpose of this research is to demonstrate successful experience in treating a closed fracture of both bones of the lower third of the left forearm with displacement of fragments using extrafocal transosseous compression-distraction osteosynthesis. Materials and methods – data from the medical documentation, results of instrumental research and dynamic observation of the hospitalized patient in Traumatology Department of City Clinical Hospital. Result. As a result of treatment, consolidation of the fracture was achieved and the function of the injured limb was restored. Conclusion. When using the Ilizarov apparatus for fractures, the degree of damage to soft tissues is reduced, and the need for repeated surgery to remove the metal structure is eliminated.

show abstract

Distal radius fractures: Systematic review

Cited by 3 publications

References 18 publications

A systematic review of the quality of distal radius systematic reviews: Methodology and reporting assessment

A systematic review of the quality of distal radius systematic reviews: Methodology and reporting assessment

Shi's Yi-Qi Bu-Shen Tong-Luo decoction combined with manipulation in the management of wrist stiffness after distal radius fracture

Experience in treating fractures of both bones of lower third of the left forearm using transosseous compression-distraction osteosynthesis

Contact Info

Product

Resources

About