Comparison of treatment outcomes between nonsurgical and surgical treatment of distal radius fracture in elderly: a systematic review and meta-analysis

Langenbeck's Archives of Surgery
Ji-Hui JuRui-Xing Hou

Abstract

The best treatment of distal radius fractures (DRFs) in the elderly is uncertain. The purpose of this meta-analysis was to compare the outcomes of surgical and nonsurgical management of DRFs in persons 65 years of age or older. Medline, Cochrane, EMBASE, and Google Scholar databases were searched until April 27, 2015 using the following search terms: distal radius fracture, conservative treatment, nonoperative treatment, nonsurgical treatment, surgical treatment, operative, elderly, and older. The primary outcome measure was DASH score, and secondary outcomes were functional and radiological assessments. The standard difference in post-treatment means was calculated for the outcomes to compare the two groups. Of 59 articles identified, eight studies with a total of 440 patients in the surgical groups and 449 in the control groups were included in the analysis. No significant differences in DASH score, VAS pain score, grip strength, wrist extension, pronation, or supination, and ulnar deviation were noted between the groups. The nonsurgical group had significantly greater wrist flexion, radial deviation, and ulnar variance and less radial inclination than the surgical group. Surgical and nonsurgical methods produce similar resul...Continue Reading

References

May 1, 2004·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·A MoroniS Giannini
Aug 6, 2010·The Journal of Bone and Joint Surgery. American Volume·K A EgolN Paksima
Apr 30, 2011·The Journal of Hand Surgery·Rafael J Diaz-GarciaKevin C Chung
Jul 26, 2011·BMJ : British Medical Journal·Jonathan A C SterneJulian P T Higgins
May 5, 2012·Hand Clinics·Kate W NellansKevin C Chung
Apr 10, 2013·The Journal of International Medical Research·Jie WeiFan-Jing Kong
Apr 19, 2013·Acta Orthopaedica·Xuetao XieChangqing Zhang
Oct 2, 2013·Archives of Physical Medicine and Rehabilitation·Anis JelladZohra Ben Salah Frih
Oct 8, 2013·Chirurgie de la main·A-M GayR Legré
Mar 20, 2014·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Ying-Ho ChanWinston Yoon-Chong Chew
Sep 5, 2014·The Journal of Bone and Joint Surgery. American Volume·Ingri EkrolMargaret M McQueen
Oct 15, 2014·Archives of Orthopaedic and Trauma Surgery·Young Hak RohGoo Hyun Baek
Dec 10, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Sanjay MeenaBuddhadev Chowdhury

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Citations

Feb 15, 2018·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Zhen HuaHeng Yin
Feb 10, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Alexandra BruyerePhilippe Liverneaux
Dec 28, 2018·Plastic and Reconstructive Surgery·Helen E HuettemanKevin C Chung
Sep 19, 2019·Revista brasileira de enfermagem·Natália Maria Vieira Pereira-CaldeiraElucir Gir
Oct 28, 2019·The Journal of Bone and Joint Surgery. American Volume·Brent R DeGeorgeSanjeev Kakar
Oct 16, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Arun AnejaStephen L Kates
Mar 21, 2020·Plastic and Reconstructive Surgery·Kevin C ChungUNKNOWN Wrist and Radius Injury Surgical Trial Group
Jun 26, 2020·Emergency Medicine Australasia : EMA·John P SmilesScott Flannagan
Jun 9, 2020·Hand : Official Journal of the American Association for Hand Surgery·Sanjeev KakarLindsey R Sangaralingham
Oct 3, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Anna Lena SanderJohannes Frank
Jun 7, 2019·The Journal of Bone and Joint Surgery. American Volume·Jenny SavingCecilia Mellstrand Navarro
Dec 23, 2020·Hand : Official Journal of the American Association for Hand Surgery·Richard SamadeKanu S Goyal
Jan 26, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chapman WeiSam Moghtaderi
Jul 15, 2020·Zeitschrift für Orthopädie und Unfallchirurgie·Christian KonradsChristian Bahrs
Apr 25, 2021·Hand Clinics·Ashley B Anderson, Scott M Tintle
Oct 3, 2021·Hand Surgery and Rehabilitation·S ErinçF Akpınar
Sep 8, 2020·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Lukasz Maciej WiniarskiPeter Larsen

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