Percutaneous pinning versus volar locking plate internal fixation for unstable distal radius fractures: a meta-analysis

Peng, Fei; Liu, Yuanxiang; Wan, Zhen-Yu

doi:10.1177/1753193417735810

Cited by 28 publications

(23 citation statements)

References 46 publications

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“…The fracture line of the middle column of the distal radius is usually vertical. The radial column of the distal radius mainly stabilizes the wrist and controls rotation and its fracture line is usually horizontal (11)(12)(13)(14). Different types of die-punch fractures may occur, depending on the type of impact and stress, the position of the wrist, and the effects of local anatomy and bone condition (2,5,11).…”

Section: Discussionmentioning

confidence: 99%

“…These fragmented bone tissues are prone to inducing traumatic arthritis of the wrist with inappropriate therapy. According to previous studies, the surgical techniques used for die-punch fractures involve the following: Reduction followed by depressed fixation for avulsion fractures and reduction followed by bone graft support and subsequent internal fixation for collapsing fractures (5,12,14,22). This suggests that different types of fracture require different treatment methods.…”

Section: Discussionmentioning

confidence: 99%

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Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Liu¹,

Liu

et al. 2020

Exp Ther Med

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The present study aimed to classify double-column die-punch fractures of the distal radius according to imaging data, and to evaluate their clinical features. A retrospective analysis of imaging data derived from 498 patients diagnosed with a double-column die-punch fracture of the distal radius was performed. The fractures were divided into those with middle-column avulsion with fracture of the radial-column articular surface (type I), those with middle-column collapse with fracture of the radial-column articular surface (type II), those with middle-column collapse with fracture of epiphysis of the radial column (type III) or mixed-type fractures (type IV). The intra-and inter-observer consistency between assessors was analyzed with kappa statistics. The patients with double-column die-punch fractures of the distal radius were followed up. There were 21 cases of type I fracture, 135 cases of type II fracture, 130 cases of type III fracture and 212 cases of type IV fracture. The intra-observer kappa coefficient ranged from 0.810-0.861, whereas the inter-observer kappa coefficient range was 0.830-0.876, with high consistency. Following 13 months of follow-up, the patients were assessed for functional recovery of the wrist and hand using the Gartland-Werley scoring system. The analysis indicated that in 95.78% of the patients, wrist function was rated as excellent or good (n=477), while in 4.22% of patients it was rated as fair (n=21), mainly due to the development of post-traumatic arthritis of the wrist following inappropriate therapy. All of the cases were type IV and type III fractures. These data demonstrated the application of a novel classification system named the Three-Column Classification, used to classify double-column die-punch fractures of the distal radius. This method reflected the mechanisms and severity of the fractures, conforming to the principle of AO fracture classification. Furthermore, it exhibited high consistency and may provide reference values for clinical diagnosis, treatment and prognostic evaluation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Liu¹,

Liu

et al. 2020

Exp Ther Med

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“…However, patients treated with ORIF returned to activities faster and had better DASH scores at 3 months (Rozental et al, 2009). Two meta-analyses (Chaudhry et al, 2015;Peng et al, 2018) concluded that ORIF resulted in lower DASH scores and less postoperative complications. The current American Association of Orthopedic Surgeons (AAOS) clinical practice guidelines do not recommend one treatment over another but state that volar plating has a greater return to function at 3 months (American Association of Orthopedic Surgeons, 2020).…”

Section: Percutaneous Pinning Versus Plating: Indication and Selection (By Rozental And Bain)mentioning

confidence: 99%

Distal radius fractures

Piñal¹,

Jupiter

Rozental

et al. 2021

J Hand Surg Eur Vol

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The management of distal radius fractures has evolved considerably in the last two decades. Techniques and hardware have improved so much that the surgeon can usually assure good results in these debilitating fractures. Yet no one method can be used for all injuries, as the personality of each fracture demands a customized approach. Furthermore, what works in one age group may not work in another. For this reason, every available treatment has its own space in our options. The need for surgeons to be well versed in all techniques is critical. We offer a concise update of important evolutionary and current treatment guidelines for this common fracture.

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“…Evidence reports stronger fixation, improved radiological position, earlier return to activities and better functional outcomes, however the cost of the implant is high (Downing and Karantana, 2008; Karantana et al., 2013). A recent meta-analysis demonstrated improved supination and grip strength for unstable fractures with locking plates compared with K-wires (Peng et al., 2018). Volar locking plate cost and complications must be considered though with complication rates of over 30% reported including tenosynovitis/tendon rupture (up to 12%), metalwork problems (up to 10.5%) and complex regional pain syndrome (up to 9%) (Johnson et al., 2014; Yuan et al., 2018).…”

Section: Surgical Interventionmentioning

confidence: 99%

The current evidence-based management of distal radial fractures: UK perspectives

Johnson

Dias

2019

J Hand Surg Eur Vol

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Distal radial fractures are extremely common injuries, yet many basic questions remain unanswered about their optimum management. Recently in the United Kingdom several guideline development groups have produced national standards and best-practice guidelines based on review of the best available evidence and expert knowledge. All guideline groups agree that when surgery is needed for dorsally displaced distal radial fractures, that can be reduced closed, K-wire fixation and cast immobilization, should be offered. Further research questions have been identified. The important findings and recommendations are summarized in this article.

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Percutaneous pinning versus volar locking plate internal fixation for unstable distal radius fractures: a meta-analysis

Abstract: II.

Cited by 28 publications

References 46 publications

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Identification of a novel three‑column classification for double‑column die‑punch fractures of the distal radius

Distal radius fractures

The current evidence-based management of distal radial fractures: UK perspectives

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