Outcomes of Arthroscopic-Assisted Distal Radius Fracture Volar Plating: A Meta-Analysis

Shihab, Zaid; Sivakumar, Brahman; Piñal, Francisco del

doi:10.1016/j.jhsa.2021.11.025

Cited by 17 publications

(5 citation statements)

References 43 publications

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“…Previous systematic reviews investigating this same aim have reported controversial evidence. [22][23][24] One systematic review concluded that there is a lack of evidence supporting the effectiveness of this procedure for these patients. 22 This review also showed that evidence is controversial for DRF reductions, and many studies used a case-series design and were therefore unable to demonstrate that arthroscopic assistance was superior to internal fixation with fluoroscopic guidance alone.…”

Section: Discussionmentioning

confidence: 99%

“…23 In contrast with our findings, a recent meta-analysis concluded that arthroscopic assistance complementary to volar locking plate is a useful adjunct to intra-articular reduction and treatment of associated soft-tissue injuries in patients with DRFs. 24 However, those findings were based on low-quality studies (three retrospective studies, and one prospective nonrandomized trial), which may overestimate the effectiveness of the intervention.…”

Section: Discussionmentioning

confidence: 99%

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Arthroscopic Assistance in Surgical Management of Distal Radius Fractures: A Systematic Review and Meta-analysis

et al. 2022

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Background Wrist arthroscopy has become a commonly used tool for the management of adults with distal radius fractures (DRFs), although its implementation requires technical competence. This systematic review and meta-analysis appraised the available evidence concerning the contribution of wrist arthroscopy to the functional and radiological outcomes of patients with DRFs operated with arthroscopic assistance. Methods Randomized control trials were identified through five principal electronic databases on May 31, 2022: Web of Science, Scopus, EBSCO, Embase, and PubMed. Two authors independently performed the search and data extraction and assessed risk of bias (RoB) using the Cochrane RoB tool. Results A total of 1,780 relevant abstracts and citations were extracted in the preliminary search, which yielded 6 trials that met the eligibility criteria, and 3 studies were included in the quantitative synthesis. The overall pooled mean difference (MD) estimate showed no significant difference in the Disabilities of the Arm, Shoulder, and Hand scores between surgical groups with and without arthroscopic assistance (MD = 0.77 points, 95% confidence interval = −6.58 to 5.03, p = 0.79), with substantial heterogeneity (I2 = 85%). Conclusion There was low-quality evidence that wrist arthroscopy conveyed not clinically or statistically significant difference to functional outcomes of patients with DRFs. However, our findings are limited by the numbers of studies included and lack of long-term follow-up, although they do provide a good starting point for future quality research.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Arthroscopic Assistance in Surgical Management of Distal Radius Fractures: A Systematic Review and Meta-analysis

et al. 2022

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“…Yet, the 2020 American Academy of Orthopaedic Surgeons clinical practice guidelines offered moderate evidence not in support of arthroscopy for treatment of DRFs, calling for further comparative studies 1 . A recent meta-analysis concluded that AA does not improve outcomes 2 .…”

Section: Commentarymentioning

confidence: 99%

Adding Arthroscopy to Open Surgery with a VLP for Distal Radial Fractures Did Not Improve Function at 1 Year

Zeltser

2024

Journal of Bone and Joint Surgery

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Question: In patients with a distal radial fracture (DRF), does adding arthroscopy to open surgery with a volar locking plate (VLP) improve function at 1 year? Design: Multicenter, randomized (allocation concealed), unblinded, controlled trial with 1 year of follow-up after surgery.Setting: 3 tertiary hospitals in Madrid, Spain.* VLP = volar locking plate, DRF = distal radial fracture, CI = confidence interval, PRWE = Patient-Rated Wrist Evaluation, MCID = minimal clinically important difference. †Score range 0 to 100 (worst pain/function). ‡Final power was 74.48%.

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“…The choice of implant for internal fixation is usually a plate and screw construct, but depending on the fracture pattern, other fixation techniques may be selected. Percutaneous headless compression screws may be appropriate for small, radial column fragments, and combined with arthroscopy, a minimally invasive osteosynthesis with a highly accurate reduction can be achieved 3 …”

mentioning

confidence: 99%

Technique for Minimally Invasive, Arthroscopic-assisted Distal Radius Fracture Fixation

Lau,

Tosti,

Rivlin

2023

Techniques in Hand &Amp; Upper Extremity Surgery

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Distal radius fractures are common injuries that often require surgical intervention. Commonly, these fractures are fixed using open reduction internal fixation with plating and screws. This often requires a more extensive soft tissue dissection and exposure. In contrast for certain cases, percutaneous headless compression screws may be appropriate. We present a technique for minimally invasive arthroscopic-assisted reduction and percutaneous screw fixation with an extremity traction device. A case is provided to demonstrate the technique as a viable option for the treatment of intra-articular distal radius fractures.

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Outcomes of Arthroscopic-Assisted Distal Radius Fracture Volar Plating: A Meta-Analysis

Cited by 17 publications

References 43 publications

Arthroscopic Assistance in Surgical Management of Distal Radius Fractures: A Systematic Review and Meta-analysis

Arthroscopic Assistance in Surgical Management of Distal Radius Fractures: A Systematic Review and Meta-analysis

Adding Arthroscopy to Open Surgery with a VLP for Distal Radial Fractures Did Not Improve Function at 1 Year

Technique for Minimally Invasive, Arthroscopic-assisted Distal Radius Fracture Fixation

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