Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients

Lawson, Andrew; Naylor, Justine M.; Buchbinder, Rachelle; Ivers, Rebecca; Balogh, Zsolt J.; Smith, Paul N.; Xuan, Wei; Howard, Kirsten; Vafa, Arezoo; Perriman, Diana; Mittal, Rajat; Yates, Piers; Rieger, Bertram; Smith, Geoff; Adie, Sam; Elkinson, Ilia; Kim, Woo-Sung; Sungaran, Jai; Latendresse, Kim; Wong, James S H; Viswanathan, Sameer; Landale, Keith; Drobetz, Herwig; Tran, Phong; Page, Richard; Beattie, Sally; Mulford, Jonathan; Incoll, Ian; Kale, Michael; Schick, Bernard; Li, Trent; Higgs, Andrew; Oppy, Andrew; Harris, Ian

doi:10.1001/jamasurg.2022.0809

Cited by 19 publications

(6 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After the removal of duplicates, and screening of the titles, abstracts, and full texts, 112 articles were included in the systematic review ( Fig. 1 ) ( 6 , 10 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , ...…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Complications after volar plate synthesis for distal radius fractures

Pacchiarini,

Massimo Oldrini,

Feltri

et al. 2024

EFORT Open Reviews

View full text Add to dashboard Cite

Purpose Distal radius fractures (DRFs) represent up to 18% of all fractures in the elderly population, yet studies on the rate of complications following surgery are lacking in the literature. This systematic review aimed to quantify the rate of complications and reinterventions in patients treated with volar plate for distal radius fractures, and analyze if there was any predisposing factor. Methods A comprehensive literature search was performed on three databases up to January 2023, following PRISMA guidelines. Studies describing volar plate complications and hardware removal were included. A systematic review was performed on complications and rate of reintervention. Assessment of risk of bias and quality of evidence was performed with the ‘Down and Black’s Checklist for measuring quality’. Results About112 studies including 17 288 patients were included. The number of complications was 2434 in 2335 patients; the most frequent was carpal tunnel syndrome (CTS), representing 14.3% of all complications. About 104 studies reported the number of reinterventions, being 1880 with a reintervention rate of 8.5%. About 84 studies reported the reason of reintervention; the most common were patient’s will (3.0%), pain (1.1%), CTS (1.2%), and device failure (1.1%). Conclusion The complication rate after DRFs is 13.5%, with the main complication being CTS (14.3%), followed by pain and tendinopathy. The reintervention rate is 8.5%, mainly due to the patient’s willingness, and all these patients had plate removal. Correct positioning of the plate and correct information to the patient before surgery can reduce the number of hardware removal, thereby reducing costs and the risk of complications associated with VLP for distal radius fractures.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Details Of the Included Studiesmentioning

confidence: 99%

Complications after volar plate synthesis for distal radius fractures

Pacchiarini,

Massimo Oldrini,

Feltri

et al. 2024

EFORT Open Reviews

View full text Add to dashboard Cite

show abstract

“…Despite this, only 44.6% of the CR group perceived their treatment as "very successful," compared with 75% of the VLP group. The reasons remain unclear but may include preexisting perceptions with regard to the benefits of a surgical procedure 8 .…”

Section: Distal Radius and Wristmentioning

confidence: 99%

What’s New in Orthopaedic Trauma

Flanagan

Vallier

2023

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

“…In clinical practice, closed reduction and immobilization with plaster or splint are the most common treatment methods for DRF [ 4 ]. Some studies have found no significant differences in the long-term prognosis between conservative and surgical treatment for DRF [ 5 , 6 ]. However, some studies have also shown that more than 25% of patients receiving conservative treatment may experience secondary reduction loss, and the incidence of fracture malunion or nonunion is higher.…”

Section: Introductionmentioning

confidence: 99%

Surgical options for distal radius fractures of type C in elderly patients over 65 years old: a comparison of external fixation with Kirschner wires and volar locking plate

Zhang,

Liu,

Duan

et al. 2023

J Orthop Surg Res

View full text Add to dashboard Cite

Background ue to the lack of consensus on the optimal surgical treatment for distal radius fractures (DRF) in elderly patients over 65 years old, the purpose of this study was to compare the efficacy of external fixation (EF) with Kirschner wires and volar locking plate (VLP) in the treatment of DRF through a retrospective cohort study. We hypothesized that there would be no significant difference in overall complications and functional recovery between the two methods. Methods We retrospectively analyzed 62 patients over 65 years old who underwent surgical treatment for C-type DRF between 2019 and 2022. Based on the different treatment methods, they were divided into the EF group and the VLP group. General data, inpatient data, and postoperative complications during follow-up were recorded. The X-ray images before surgery, after surgery, and at the last follow-up were analyzed, and the results of wrist motion range, Gartland–Werley wrist joint score, and DASH score were evaluated 6 months after surgery for both groups. Result Thirty patients underwent closed reduction and external fixation combined with Kirschner wire fixation, while 32 underwent open reduction and VLP fixation. The EF group had significantly shorter operation time, intraoperative blood loss, injury-to-surgery time, and hospital stay compared to the VLP group (all p < 0.001). At the last follow-up, the radiographic parameters (ulnar variance and radial inclination) and wrist joint function (wrist dorsiflexion and forearm supination) were better in the VLP group than in the EF group (p = 0.04, p = 0.01, p = 0.001, p = 0.02, respectively). However, there was no significant difference in overall Gartland-Werley wrist joint score, DASH score, and incidence of postoperative complications between the two groups (p = 0.31, p = 0.25, p = 0.47, respectively). Conclusion For patients aged 65 and above with distal radius fractures (DRF) of type C, VLP and external fixation with Kirschner wires yield comparable functional outcome and complications rate at the short term. However, VLP allowed restoration of better radiological parameters.

show abstract

Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients

Cited by 19 publications

References 41 publications

Complications after volar plate synthesis for distal radius fractures

Complications after volar plate synthesis for distal radius fractures

What’s New in Orthopaedic Trauma

Surgical options for distal radius fractures of type C in elderly patients over 65 years old: a comparison of external fixation with Kirschner wires and volar locking plate

Contact Info

Product

Resources

About