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Longitudinal recovery following distal radial fractures managed with volar plate fixation

Journal Article


Abstract


  • Aims To synthesise the literature and perform a meta-analysis detailing the longitudinal recovery in the first two years following a distal radius fracture (DRF) managed with volar plate fixation. Materials and Methods Three databases were searched to identify relevant articles. Following eligibility screening and quality assessment, data were extracted and outcomes were assimilated at the postoperative time points of interest. A state-of-the-art longitudinal mixed-effects meta-analysis model was employed to analyse the data. Results The search identified 5698 articles, of which 46 study reports met the selection criteria. High levels of disability and impairment were reported in the immediate post-operative period with subsequently a rapid initial improvement followed by more gradual improvement for up to one year. The results highlight that the period associated with the greatest physical recovery is in the first three months and suggest that the endpoint of treatment outcomes is best measured at one year post-surgery. Conclusion Clinically meaningful improvements in outcomes can be expected for 12 months, after which progress plateaus and reaches normal values. This paper adopted a novel approach to meta-analyses in that the research question was of a longitudinal nature, which required a unique method of statistical analysis.

Publication Date


  • 2017

Citation


  • Stinton, S. B., Graham, P. L., Moloney, N. A., Maclachlan, L. R., Edgar, D. W., & Pappas, E. (2017). Longitudinal recovery following distal radial fractures managed with volar plate fixation. Bone and Joint Journal, 99B(12), 1665-1676. doi:10.1302/0301-620X.99B12.BJJ-2017-0348.R1

Scopus Eid


  • 2-s2.0-85038242211

Start Page


  • 1665

End Page


  • 1676

Volume


  • 99B

Issue


  • 12

Place Of Publication


Abstract


  • Aims To synthesise the literature and perform a meta-analysis detailing the longitudinal recovery in the first two years following a distal radius fracture (DRF) managed with volar plate fixation. Materials and Methods Three databases were searched to identify relevant articles. Following eligibility screening and quality assessment, data were extracted and outcomes were assimilated at the postoperative time points of interest. A state-of-the-art longitudinal mixed-effects meta-analysis model was employed to analyse the data. Results The search identified 5698 articles, of which 46 study reports met the selection criteria. High levels of disability and impairment were reported in the immediate post-operative period with subsequently a rapid initial improvement followed by more gradual improvement for up to one year. The results highlight that the period associated with the greatest physical recovery is in the first three months and suggest that the endpoint of treatment outcomes is best measured at one year post-surgery. Conclusion Clinically meaningful improvements in outcomes can be expected for 12 months, after which progress plateaus and reaches normal values. This paper adopted a novel approach to meta-analyses in that the research question was of a longitudinal nature, which required a unique method of statistical analysis.

Publication Date


  • 2017

Citation


  • Stinton, S. B., Graham, P. L., Moloney, N. A., Maclachlan, L. R., Edgar, D. W., & Pappas, E. (2017). Longitudinal recovery following distal radial fractures managed with volar plate fixation. Bone and Joint Journal, 99B(12), 1665-1676. doi:10.1302/0301-620X.99B12.BJJ-2017-0348.R1

Scopus Eid


  • 2-s2.0-85038242211

Start Page


  • 1665

End Page


  • 1676

Volume


  • 99B

Issue


  • 12

Place Of Publication