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dc.contributor.authorGouk, Conor
dc.contributor.authorNg, Shu-Kay
dc.contributor.authorKnight, Matthew
dc.contributor.authorBindra, Randy
dc.contributor.authorThomas, Michael
dc.date.accessioned2019-10-10T01:08:10Z
dc.date.available2019-10-10T01:08:10Z
dc.date.issued2019
dc.identifier.issn2035-8237
dc.identifier.doi10.4081/or.2019.7809
dc.identifier.urihttp://hdl.handle.net/10072/388216
dc.description.abstractDistal radius fractures are among the most common fractures encountered in the clinical setting. Of these common fractures, it has been said that up to 60% are intraarticular in nature. Intra-articular or unstable and comminuted fractures represent severe and high energy injuries. Despite a large amount of literature, it is surgeon preference which determines the fixation method employed. There are only a few randomised control trials that report 2-year outcomes. There has yet to be a meta-analysis comparing the long-term outcomes of open reduction internal fixation (ORIF) and external fixation (EF). The aim of this metaanalysis is to identify any difference in the outcomes of either fixation method in the long term. We pooled the data of all the available randomised control trials that followed the patients for a minimum of 2 years and compared outcomes of ORIF against EF of distal radius fractures as per PRISMA guidelines from inception of the databases to December 2016. We then performed our meta-analysis using RevMan 5.3 software. Flexion/extension arcs were significantly improved in ORIF, and 7 of the 10 analysed outcomes supported ORIF, although most not to a significant degree. The meta-analysis indicated that there is no difference in outcomes with either form of treatment. Even though the flexion extension arc was statistically better in the ORIF group, the difference is not clinically meaningful.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherPagepress
dc.publisher.placeItaly
dc.relation.ispartofpagefrom102
dc.relation.ispartofpageto106
dc.relation.ispartofissue3
dc.relation.ispartofjournalOrthopedic Reviews
dc.relation.ispartofvolume11
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1103
dc.subject.keywordstrauma
dc.subject.keywordsDistal radius
dc.subject.keywordsfixation
dc.titleLong term outcomes of open reduction internal fixation versus external fixation of distal radius fractures: A meta-analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationGouk, C; Ng, S-K; Knight, M; Bindra, R; Thomas, M, Long term outcomes of open reduction internal fixation versus external fixation of distal radius fractures: A meta-analysis., Orthopedic Reviews, 2019, 11 (3), pp. 102-106
dcterms.dateAccepted2019-05-02
dcterms.licensehttp://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated2019-10-10T01:01:00Z
dc.description.versionPublished
gro.rights.copyright© The Author(s), 2019. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorBindra, Randy
gro.griffith.authorGouk, Conor J.
gro.griffith.authorNg, Shu Kay Angus


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