External Fixation Versus Internal Fixation for Unstable Distal Radius Fractures: A Systematic Review and Meta-Analysis of Comparative Clinical Trials

Wei DH, Poolman RW, Bhandari M, et al (Columbia Univ Med Ctr, NY; Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; McMaster Univ, Hamilton, Ontario, Canada) J Orthop Trauma 26:386-394, 2012^§

Abstract

Objectives

There is no consensus on the surgical management of unstable distal radius fractures. In this systematic review and meta-analysis, we pool data from trials comparing external fixation and open reduction and internal fixation (ORIF) for this injury.

Data Sources

We searched electronic databases (including MEDLINE, EMBASE, and SCOPUS) and conference proceedings from 1950 to 2009 in the English literature.

Study Selection

We pooled data from 12 trials totaling 1011 patients (491 fractures treated with external fixation and 520 with ORIF). All randomized studies of external fixation to ORIF for unstable distal radius fractures were considered, and nonrandomized trials were included if and only if they directly compared external fixation with ORIF.

Data Extraction

Two authors independently extracted data from all eligible studies, including patient characteristics, sample size, fracture type, length of follow-up, intervention, and outcomes.

Data Synthesis

Only gold members can continue reading. Log In or Register to continue

Share this:

• X
• Facebook

Related

Related posts:

of the Wrist and Associated Triangular Fibrocartilage Lesions: A Prospective Study in Arthroscopically-treated Patients of Sensory Reeducation Programs on Functional Hand Sensibility after Median and Ulnar Repair: A Systematic Review Biomechanical Comparison of 3 Loop Suture Materials in a 6-Strand Flexor Tendon Repair Technique Results of the Darrach Procedure: A Long-Term Outcome Study Longitudinal Follow-up of Mini-Open Rotator Cuff Repair of the Brief International Classification of Functioning, Disability, and Health (ICF) Core Set for Hand Conditions

Stay updated, free articles. Join our Telegram channel

Join