eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
Current issue Archive Manuscripts accepted About the journal Special issues Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
1/2017
vol. 13
 
Share:
Share:
more
 
 
abstract:
Clinical research

Comparison of effects of seven treatment methods for distal radius fracture on minimizing complex regional pain syndrome

Jian-Hang Wang, Tao Sun

Arch Med Sci 2017; 13, 1: 163–173
Online publish date: 2016/05/11
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction: Using network meta-analysis, we evaluated the adverse effects of the seven most common treatment methods, i.e., bridging external fixation, non-bridging external fixation, K-wire fixation, plaster fixation, dorsal plating, volar plating, and dorsal and volar plating, by their associated risk of developing complex regional pain syndrome (CRPS) in distal radius fracture (DRF) patients.

Material and methods: Following an exhaustive search of scientific literature databases for high quality studies, randomized controlled trials (RCTs) related to our study topic were screened and selected based on stringent predefined inclusion and exclusion criteria. Data extracted from the selected studies were used for statistical analyses using Stata 12.0 software.

Results: A total of 17 RCTs, including 1658 DRF patients, were enrolled in this network meta-analysis. Among the 1658 DRF patients, 452 received bridging external fixation, 525 received non-bridging external fixation, 154 received K-wire fixation, 84 received plaster fixation, 132 received dorsal plating, 123 received volar plating, and 188 received dorsal and volar plating. When compared to bridging external fixation patients, there was no marked difference in the CRPS risk in DRF patients receiving different treatments (all p > 0.05). However, the surface under the cumulative ranking curves (SUCRA) for plaster fixation (77.0%) and non-bridging external fixation (71.3%) were significantly higher compared with the other five methods.

Conclusions: Our findings suggest that compared with bridging external fixation, K-wire fixation, dorsal plating, volar plating, dorsal and volar plating, plaster fixation and non-bridging external fixation might be the better treatment methods to reduce the risk of CRPS in DRF patients.
keywords:

distal radius fracture, plaster fixation, dorsal and volar plating, randomized controlled trials, complex regional pain syndrome, network meta-analysis, treatment relative ranking of predictive probabilities, surface under the cumulative ranking curves

references:
Roh YH, BK Lee, JH Noh, et al. Effect of anxiety and catastrophic pain ideation on early recovery after surgery for distal radius fractures. J Hand Surgery 2014; 39: 2258-64 e2252.
Flinkkila T, Sirnio K, Hippi M, et al. Epidemiology and seasonal variation of distal radius fractures in Oulu, Finland. Osteoporosis Int 2011; 22: 2307-12.
Shauver MJ, Yin H, Banerjee M, et al. Current and future national costs to medicare for the treatment of distal radius fracture in the elderly. J Hand Surgery 2011; 36: 1282-7.
Nellans KW, Kowalski E, Chung KC. The epidemiology of distal radius fractures. Hand Clin 2012; 28: 113-25.
Oyen J, Brudvik C, Gjesdal CG, et al. Osteoporosis as a risk factor for distal radial fractures: a case-control study. J Bone Joint Surgery 2011; 93: 348-56.
Goehre F, Otto W, Schwan S, et al. Comparison of palmar fixed-angle plate fixation with K-wire fixation of distal radius fractures (AO A2, A3, C1) in elderly patients. J Hand Surgery 2014; 39: 249-57.
Meena S, Sharma P, Gangary SK, et al. Role of vitamin C in prevention of complex regional pain syndrome after distal radius fractures: a meta-analysis. Eur J Orthop Surg Traumatol 2015; 25: 637-41.
Marinus J, Moseley GL, Birklein F, et al. Clinical features and pathophysiology of complex regional pain syndrome. Lancet Neurol 2011; 10: 637-48.
Kolb L, Lang C, Seifert F, et al. Cognitive correlates of „neglect-like syndrome” in patients with complex regional pain syndrome. Pain 2012; 153: 1063-73.
Schneppendahl J, Windolf J, Kaufmann RA. Distal radius fractures: current concepts. J Hand Surgery 2012; 37: 1718-25.
Lichtman DM, Bindra RR, Boyer MI, et al. Treatment of distal radius fractures. J Am Acad Orthop Surg 2010; 18: 180-9.
Moradi A, Ebrahimzadeh MH, Jupiter JB. Intra-articular fractures of the distal radius: bridging external fixation in slight flexion and ulnar deviation along articular surface instead of radial shaft. Techn Hand Upper Ext Surg 2014; 18: 41-50.
Schonnemann JO, Hansen TB, Soballe K. Randomised study of non-bridging external fixation compared with intramedullary fixation of unstable distal radial fractures. J Plast Surg Hand Surg 2011; 45: 232-7.
Atroshi I, Brogren E, Larsson GU, et al. Wrist-bridging versus non-bridging external fixation for displaced distal radius fractures: a randomized assessor-blind clinical trial of 38 patients followed for 1 year. Acta Orthop 2006; 77: 445-53.
Hsu LP, Schwartz EG, Kalainov DM, et al. Complications of K-wire fixation in procedures involving the hand and wrist. J Hand Surg 2011; 36: 610-6.
Wenjing L, Fang D. Care of plaster immobilization. Value Engineering 2011; 36: 254.
Wei J, Yang TB, Luo W, et al. Complications following dorsal versus volar plate fixation of distal radius fracture: a meta-analysis. J Intern Med Res 2013; 41: 265-75.
Johnson NA, Cutler L, Dias JJ, et al. Complications after volar locking plate fixation of distal radius fractures. Injury 2014; 45: 528-33.
Windolf M, Schwieger K, Ockert B, et al. A novel non-bridging external fixator construct versus volar angular stable plating for the fixation of intra-articular fractures of the distal radius: a biomechanical study. Injury 2010; 41: 204-9.
Dzaja I, MacDermid JC, Roth J, et al. Functional outcomes and cost estimation for extra-articular and simple intra-articular distal radius fractures treated with open reduction and internal fixation versus closed reduction and percutaneous Kirschner wire fixation. Can J Surg 2013; 56: 378-84.
Sutton A, Ades AE, Cooper N, et al. Use of indirect and mixed treatment comparisons for technology assessment. Pharmacoeconomics 2008; 26: 753-67.
Liao WC, Chien KL, Lin YL, et al. Adjuvant treatments for resected pancreatic adenocarcinoma: a systematic review and network meta-analysis. Lancet Oncol 2013; 14: 1095-103.
Higgins JP, Altman DG, Gotzsche PC, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 2011; 343: d5928.
Chen H, Manning AK, Dupuis J. A method of moments estimator for random effect multivariate meta-analysis. Biometrics 2012; 68: 1278-84.
Jackson D, White IR, Riley RD. Quantifying the impact of between-study heterogeneity in multivariate meta-analyses. Statistics in Medicine 2012; 31: 3805-20.
Peters JL, Sutton AJ, Jones DR, et al. Comparison of two methods to detect publication bias in meta-analysis. JAMA 2006; 295: 676-80.
Chaimani A, Higgins JP, Mavridis D, et al. Graphical tools for network meta-analysis in STATA. PloS One 2013; 8: e76654.
Song F, Altman DG, Glenny AM, et al. Validity of indirect comparison for estimating efficacy of competing interventions: empirical evidence from published meta-analyses. BMJ 2003; 326: 472.
Egger M, Davey Smith G, Schneider M, et al. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997; 315: 629-34.
White IR, Barrett JK, Jackson D, et al. Consistency and inconsistency in network meta-analysis: model estimation using multivariate meta-regression. Res Synth Methods 2012; 3: 111-25.
Abramo A, Kopylov P, Geijer M, et al. Open reduction and internal fixation compared to closed reduction and external fixation in distal radial fractures: a randomized study of 50 patients. Acta Orthop 2009; 80: 478-85.
Aktekin CN, Altay M, Gursoy Z, et al. Comparison between external fixation and cast treatment in the management of distal radius fractures in patients aged 65 years and older. J Hand Surg 2010; 35: 736-42.
Grewal R, MacDermid JC, King GJ, et al. Open reduction internal fixation versus percutaneous pinning with external fixation of distal radius fractures: a prospective, randomized clinical trial. J Hand Surg 2011; 36: 1899-906.
Grewal R, Perey B, Wilmink M, et al. A randomized prospective study on the treatment of intra-articular distal radius fractures: open reduction and internal fixation with dorsal plating versus mini open reduction, percutaneous fixation, and external fixation. J Hand Surg 2005; 30: 764-72.
Hayes AJ, Duffy PJ, McQueen MM. Bridging and non-bridging external fixation in the treatment of unstable fractures of the distal radius: a retrospective study of 588 patients. Acta Orthop 2008; 79: 540-7.
Jakubietz MG, Gruenert JG, Jakubietz RG. Palmar and dorsal fixed-angle plates in AO C-type fractures of the distal radius: is there an advantage of palmar plates in the long term? J Orthop Surg Res 2012; 7: 8.
Kreder HJ, Hanel DP, Agel J, et al. Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: a randomised, controlled trial. J Bone Joint Surg 2005; 87: 829-36.
Krishnan J, Wigg AE, Walker RW, et al. Intra-articular fractures of the distal radius: a prospective randomised controlled trial comparing static bridging and dynamic non-bridging external fixation. J Hand Surg 2003; 28: 417-21.
McQueen MM. Redisplaced unstable fractures of the distal radius. A randomised, prospective study of bridging versus non-bridging external fixation. J Bone Joint Surg 1998; 80: 665-9.
McQueen MM, Hajducka C, Court-Brown CM. Redisplaced unstable fractures of the distal radius: a prospective randomised comparison of four methods of treatment. J Bone Joint Surg 1996; 78: 404-9.
Westphal T, Piatek S, Schubert S, et al. Outcome after surgery of distal radius fractures: no differences between external fixation and ORIF. Arch Orthop Trauma Surg 2005; 125: 507-14.
Wilcke MK, Abbaszadegan H, Adolphson PY. Wrist function recovers more rapidly after volar locked plating than after external fixation but the outcomes are similar after 1 year. Acta Orthop 2011; 82: 76-81.
Wong TC, Chiu Y, Tsang WL, et al. Casting versus percutaneous pinning for extra-articular fractures of the distal radius in an elderly Chinese population: a prospective randomised controlled trial. J Hand Surg 2010; 35: 202-8.
Wright TW, Horodyski M, Smith DW. Functional outcome of unstable distal radius fractures: ORIF with a volar fixed-angle tine plate versus external fixation. J Hand Surg 2005; 30: 289-99.
Xu GG, Chan SP, Puhaindran ME, et al. Prospective randomised study of intra-articular fractures of the distal radius: comparison between external fixation and plate fixation. Ann Acad Med Singapore 2009; 38: 600-6.
Yu YR, Makhni MC, Tabrizi S, et al. Complications of low-profile dorsal versus volar locking plates in the distal radius: a comparative study. J Hand Surg 2011; 36: 1135-41.
Salanti G, Ades AE, Ioannidis JP. Graphical methods and numerical summaries for presenting results from multiple-treatment meta-analysis: an overview and tutorial. J Clin Epidemiol 2011; 64: 163-71.
DiDomenico LA, Sann P. Univalve split plaster cast for postoperative immobilization in foot and ankle surgery. J Foot Ankle Surg 2013; 52: 260-2.
Sugiyama Y, Naito K, Igeta Y, et al. Treatment strategy for distal radius fractures with ipsilateral arteriovenous shunts. J Hand Surg 2014; 39: 2265-8.
Potestio D, Laurenti F, Braidotti P, et al. Distal radial fracture: preliminary results with a new non-bridging external fixation technique. J Bone Joint Surg 2011; 93: 188-8.
Jellad A, Salah S, Ben Salah Frih Z. Complex regional pain syndrome type I: incidence and risk factors in patients with fracture of the distal radius. Arch Phys Med Rehabil 2014; 95: 487-92.
Moseley GL, Herbert RD, Parsons T, et al. Intense pain soon after wrist fracture strongly predicts who will develop complex regional pain syndrome: prospective cohort study. J Pain 2014; 15: 16-23.
Pons T, Shipton EA, Williman J, et al. Potential risk factors for the onset of complex regional pain syndrome type 1: a systematic literature review. Anesthesiol Res Pract 2015; 2015: 956539.
Duman I, Dincer U, Taskaynatan MA, et al. Reflex sympathetic dystrophy: a retrospective epidemiological study of 168 patients. Clin Rheumatol 2007; 26: 1433-7.
FEATURED PRODUCTS
Quick links
© 2018 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe