دورية أكاديمية
أعرض في EDS

Comparison of immobilization periods following open reduction and internal fixation of distal radius fracture: A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Comparison of immobilization periods following open reduction and internal fixation of distal radius fracture: A systematic review and meta-analysis.
المؤلفون: Ghaddaf AA; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, Jeddah, Saudi Arabia. Electronic address: abdullahg.official@gmail.com., Abdulhamid AS; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, Jeddah, Saudi Arabia., Alomari MS; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, Jeddah, Saudi Arabia., Alquhaibi MS; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, Jeddah, Saudi Arabia., Alshehri AA; College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia., Alshehri MS; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, Jeddah, Saudi Arabia; Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
المصدر: Journal of hand therapy : official journal of the American Society of Hand Therapists [J Hand Ther] 2023 Jan-Mar; Vol. 36 (1), pp. 23-32. Date of Electronic Publication: 2021 Jul 23.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: Hanley & Belfus, Inc Country of Publication: United States NLM ID: 8806591 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-004X (Electronic) Linking ISSN: 08941130 NLM ISO Abbreviation: J Hand Ther Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Philadelphia, PA] : Hanley & Belfus, Inc., [c1987-
مواضيع طبية MeSH: Radius Fractures*/surgery , Wrist Fractures*, Humans ; Treatment Outcome ; Fracture Fixation, Internal ; Pain/etiology ; Range of Motion, Articular
مستخلص: Study Design: Systematic review and meta-analysis.
Introduction: The use of volar locking plate (VLP) in the fixation of fracture fragments promised a new era in the management of distal radius fracture (DRF).
Purpose of the Study: To compare the patient-reported outcomes, functional outcomes, pain, and adverse events between the different periods of immobilization following open reduction and internal fixation of DRFs with VLP.
Methods: We searched Medline/Pubmed, Web of Science, Ovid, and CINAHL. The inclusion criteria was randomized controlled trials that compared different immobilization periods after open reduction and internal fixation of DRFs with VLP. The last search was performed on 2 June 2020. The different immobilization periods were divided into the following 3 groups: ≤1-week group, 2-3-week group, and 5-6-week group.
Results: Seven eligible randomized controlled trials provided data on 509 patients. We found that compared to 5-6-week group, ≤1-week and 2-3-week groups showed a reduction in overall Patient-Reported Wrist Evaluation score (SMD = -0.48, 95% CI -0.73 to -0.22, P < .001; SMD = -0.69, 95% CI -0.97 to -0.41, P < .001, respectively). We also found that there were improvements in the other patient-reported outcomes including overall Disabilities of the Arm, Shoulder, and Hand score and pain; and functional outcomes including overall grip strength and range of motion measures in favor of ≤1-week and 2-3-week groups.
Conclusion: This systematic review and meta-analysis showed that compared to immobilization for 5 to 6 weeks after DRF repair, immobilization for ≤1 week or 2-3 weeks showed improvements in the patients-reported outcomes and functional outcomes. The differences between the 3 immobilization groups may not be clinically important considering the small changes as follow up progresses.
(Copyright © 2021. Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Distal radius fracture; Open reduction and internal fixation; Volar locking plate; immobilization
تواريخ الأحداث: Date Created: 20210726 Date Completed: 20230508 Latest Revision: 20230509
رمز التحديث: 20230509
DOI: 10.1016/j.jht.2021.06.004
PMID: 34304976
قاعدة البيانات: MEDLINE
الوصف
تدمد:1545-004X
DOI:10.1016/j.jht.2021.06.004