Volar locking plate versus external fixation for the treatment of unstable distal radial fractures: a meta-analysis of randomized controlled trials

Zhang, Lihai; Wang, Yanan; Mao, Zhi; Zhang, Licheng; Li, Hongda; Huang, Yan; Liu, Xiaoxie; Tang, Peifu

doi:10.1016/j.jss.2014.06.018

Cited by 43 publications

(32 citation statements)

References 22 publications

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“…Better supination was also reported by Wei et al, 18 In our study, the only radiological finding that was statistically significant was ulnar variance in favor of the VLP. This is in accordance with the studies by Wilcke et al, 4 Li-Hai et al, 6 and Esposito et al 21 We believe that our findings regarding ulnar variance, which favored VLP, can be explained by the more accurate reduction when treating fractures with ORIF, especially in more complicated fractures.…”

Section: Discussionsupporting

confidence: 93%

“…1 The total number of surgical treatments has also increased over this period. 2 Several studies have demonstrated that open reduction internal fixation (ORIF) is superior to external fixation (EF) in the short term 3e5 ; and in their meta-analysis, Li-Hai et al 6 toward overall better Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) scores by the 12-month follow-up after using VLP. The 1-year results of our study have previously been reported, 7 and the findings included a higher Mayo wrist score (90 vs 85; P ¼ .02), better supination (89 vs 85 ; P ¼ .03), and less radial shortening (1.4 mm vs 2.2 mm; P ¼ .01) in the VLP group.…”

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confidence: 99%

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External Fixation and Adjuvant Pins Versus Volar Locking Plate Fixation in Unstable Distal Radius Fractures: A Randomized, Controlled Study With a 5-Year Follow-Up

Williksen

Husby

Hellund

et al. 2015

The Journal of Hand Surgery

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Section: Discussionsupporting

confidence: 93%

mentioning

confidence: 99%

External Fixation and Adjuvant Pins Versus Volar Locking Plate Fixation in Unstable Distal Radius Fractures: A Randomized, Controlled Study With a 5-Year Follow-Up

Williksen

Husby

Hellund

et al. 2015

The Journal of Hand Surgery

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“…The total rate of complications seems to be similar after external fixation and VLPs, but VLPs have been associated with more complications requiring late secondary surgery. 6,13,17,31,32 There are reports that secondary surgery occurs 2 to 7 years after fracture surgery, 13,31e34 which makes long-term follow-up important, especially for patients treated with internal fixation left in place that may cause mechanical attrition of surrounding soft tissues.…”

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confidence: 99%

External Fixation Versus Volar Locking Plate for Unstable Dorsally Displaced Distal Radius Fractures—A 3-Year Follow-Up of a Randomized Controlled Study

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Enocson

Ponzer

et al. 2019

The Journal of Hand Surgery

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“…2013, Li-hai et al. 2015). No longitudinal registry studies have evaluated the subjective outcome of DRF during this change of practice.…”

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confidence: 99%

Similar 1-year subjective outcome after a distal radius fracture during the 10-year-period 2003–2012

et al. 2017

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Background and purposeDuring the last decades, treatment of distal radius fractures (DRFs) has changed, with surgical intervention being more common and with new techniques. We investigated whether this change has influenced the subjective outcome. Here we report, year by year, the 1-year score after a DRF over a 10-year-period, using a patient-reported outcome measure.Patients and methodsPatients aged 18 years or more with a DRF between 2003 and 2012 were prospectively and consecutively registered in a longitudinal outcome database. 1 year after the fracture, all the patients were sent a validated subjective outcome questionnaire, the Disabilities of the Arm, Shoulder, and Hand (DASH). The lower the score (0–100), the better the outcome.ResultsBetween 2003 and 2012, 3,666 patients (2,833 of them women; mean age 62 (18–98) years) were included. 22% were operated and the rate remained constant over the years. The surgical methods shifted from external fixators (42%) and fragment-specific plates (45%) in 2003, to mainly volar locking plates (65%) in 2012. 70% of the patients responded to the 1-year DASH questionnaire. The median DASH score was 9 (IQR: 2–25) for the cohort, both in surgically treated patients (9 (IQR: 3–25)) and in non-surgically treated patients (9 (IQR 2–27)). Subgroup analysis showed a higher median DASH score for women than for men; for patients with AO type C fractures rather than type B or type A fractures; for patients with external fixation or fragment-specific fixation than for those who underwent surgery using volar locking plates; and for patients who were operated by a general orthopedic surgeon rather than a hand surgeon.InterpretationThe shift in surgical treatment had no influence on the subjective outcome for the cohort.

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Volar locking plate versus external fixation for the treatment of unstable distal radial fractures: a meta-analysis of randomized controlled trials

Cited by 43 publications

References 22 publications

External Fixation and Adjuvant Pins Versus Volar Locking Plate Fixation in Unstable Distal Radius Fractures: A Randomized, Controlled Study With a 5-Year Follow-Up

External Fixation and Adjuvant Pins Versus Volar Locking Plate Fixation in Unstable Distal Radius Fractures: A Randomized, Controlled Study With a 5-Year Follow-Up

External Fixation Versus Volar Locking Plate for Unstable Dorsally Displaced Distal Radius Fractures—A 3-Year Follow-Up of a Randomized Controlled Study

Similar 1-year subjective outcome after a distal radius fracture during the 10-year-period 2003–2012

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