In adults, early mobilization may be beneficial for distal radius fractures treated with open reduction and internal fixation: a systematic review and meta-analysis

Deng, Zhibo; Wu, Jiangping; Tang, Kaiying; Han, Shu; Wang, Ting; Li, Fubing; Nie, Mao

doi:10.1186/s13018-021-02837-0

Cited by 10 publications

(4 citation statements)

References 45 publications

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“…reported that early mobility reduced hospitalization by an average of 1.8 days in total joint arthroplasty [ 96 ], and Deng et al. reported that patient‐reported outcome measures (PROMs) score of the early mobilization group was significantly better than that of the late mobilization group after distal radius fracture surgery [ 97 ].…”

Section: Components Of Eras Protocolmentioning

confidence: 99%

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

Choi

Kim

Chang

et al. 2022

Knee Surg & Relat Res

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Background With increasing interest in enhanced recovery after surgery (ERAS), the literature on ERAS in orthopedic surgery is also rapidly accumulating. This review article aims to (1) summarize the components of the ERAS protocol applied to orthopedic surgery, (2) evaluate the outcomes of ERAS in orthopedic surgery, and (3) suggest practical strategies to implement the ERAS protocol successfully. Main body Overall, 17 components constituting the highly recommended ERAS protocol in orthopedic surgery were identified. In the preadmission period, preadmission counseling and the optimization of medical conditions were identified. In the preoperative period, avoidance of prolonged fasting, multimodal analgesia, and prevention of postoperative nausea and vomiting were identified. During the intraoperative period, anesthetic protocols, prevention of hypothermia, and fluid management, urinary catheterization, antimicrobial prophylaxis, blood conservation, local infiltration analgesia and local nerve block, and surgical factors were identified. In the postoperative period, early oral nutrition, thromboembolism prophylaxis, early mobilization, and discharge planning were identified. ERAS in orthopedic surgery reduced postoperative complications, hospital stay, and cost, and improved the patient outcomes and satisfaction with accelerated recovery. For successful implementation of the ERAS protocol, various strategies including the standardization of care system, multidisciplinary communication and collaboration, ERAS education, and continuous audit system are necessary. Conclusion The ERAS pathway enhanced patient recovery with a shortened length of stay, reduced postoperative complications, and improved patient outcomes and satisfaction. However, despite the significant progress in ERAS implementation in recent years, it has mainly focused on major surgeries such as arthroplasty. Therefore, further efforts to apply, audit, and optimize ERAS in various orthopedic surgeries are necessary.

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Section: Components Of Eras Protocolmentioning

confidence: 99%

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

Choi

Kim

Chang

et al. 2022

Knee Surg & Relat Res

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“…The entire device sits medially along the radial side of the wrist. The hinge allows for early wrist joint mobility, which may improve functional outcomes [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

3D Printed Orthopaedic External Fixation Devices: A Systematic Review

et al. 2023

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Background External fixators are complex, expensive orthopaedic devices used to stabilize high-energy and complex fractures of the extremities. Although the technology has advanced dramatically over the last several decades, the mechanical goals for fracture stabilization of these devices have remained unchanged. Three-dimensional (3D) printing technology has the potential to advance the practice and access to external fixation devices in orthopaedics. This publication aims to systematically review and synthesize the current literature on 3D printed external fixation devices for managing orthopaedic trauma fractures. Methods The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocols were followed for this manuscript with minor exceptions. PubMed, Embase, Cochrane Review, Google Scholar, and Scopus online databases were systematically searched. Two independent reviewers screened the search results based on predetermined inclusion and exclusion criteria related to 3D printing and external fixation of fractures. Results Nine studies met the inclusion criteria. These included one mechanical testing study, two computational simulation studies, three feasibility studies, and three clinical case studies. Fixator designs and materials varied significantly between authors. Mechanical testing revealed similar strength to traditional metal external fixators. Across all clinical studies, five patients underwent definitive treatment with 3D printed external fixators. They all had satisfactory reduction and healing with no reported complications. Conclusions The current literature on this topic is heterogeneous, with highly variable external fixator designs and testing techniques. A small and limited number of studies in the scientific literature have analyzed the use of 3D printing in this area of orthopaedic surgery. 3D printed external fixation design advancements have yielded promising results in several small clinical case studies. However, additional studies on a larger scale with standardized testing and reporting techniques are needed.

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“…Therefore, our conclusion that surgery does not provide additional benefits is unlikely to change in people over 70 based on blinded trials. Moreover, blinding may not be feasible, as the surgical group would lose the benefit of early mobilization in a placebo-controlled trial (Deng et al., 2021).…”

Section: Discussionmentioning

confidence: 99%

Anterior locking plate versus non-operative treatment in different age groups with distal radial fractures: a systematic review and meta-analysis

Linnanmäki

Hevonkorpi

Repo

et al. 2023

J Hand Surg Eur Vol

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This meta-analysis compared anterior locking plate and non-operative treatment for distal radial fractures and assessed if the age of the patients is associated with the treatment effect. We searched the MEDLINE, Embase and CENTRAL databases and included 12 studies with 1366 patients. Compared with non-operative care, anterior locking plate treatment does not seem to provide clinically important benefits in mean DASH score, mean pain or their mean quality of life at 12 to 24 months if the patients’ ages are not considered (moderate to low certainty evidence). However, the younger the patients, the larger the benefit for surgery. Meta-regression with the DASH score suggested that while people over 70 likely experience no clinically relevant benefit from surgery, the mean effects cannot be generalized to people under 60. The evidence regarding the risk of adverse events is too uncertain to make firm conclusions.

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In adults, early mobilization may be beneficial for distal radius fractures treated with open reduction and internal fixation: a systematic review and meta-analysis

Cited by 10 publications

References 45 publications

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

3D Printed Orthopaedic External Fixation Devices: A Systematic Review

Anterior locking plate versus non-operative treatment in different age groups with distal radial fractures: a systematic review and meta-analysis

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