Limits...
Comparison of Risk of Carpal Tunnel Syndrome in Patients with Distal Radius Fractures After 7 Treatments.

Zhao HL, Wang GB, Jia YQ, Zhu SC, Zhang FF, Liu HM - Med. Sci. Monit. (2015)

Bottom Line: The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis.Data extracted from the selected studies were analyzed using STATA version 12.0 software.Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05).

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Linyi People's Hospital, Linyi, Shandong, China (mainland).

ABSTRACT
BACKGROUND To compare risk of carpal tunnel syndrome (CTS) in distal radius fracture (DRF) patients after 7 treatments using bridging external fixation (BrEF), non-bridging external fixation (non-BrEF), plaster fixation, K-wire fixation, dorsal plating fixation, volar plating fixation, and dorsal and volar plating by performing a network meta-analysis. MATERIAL AND METHODS An exhaustive search of electronic databases identified randomized controlled trails (RCTs) closely related to our study topic. The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis. Data extracted from the selected studies were analyzed using STATA version 12.0 software. RESULTS The literature search and selection process identified 12 eligible RCTs that contained a total of 1370 DRF patients (394 patients with BrEF, 377 patients with non-BrEF, 89 patients with K-wire fixation, 192 patients with plaster fixation, 42 patients with dorsal plating fixation, 152 patients with volar plating fixation, and 124 patients with dorsal and volar plating fixation). Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05). The value of surface under the cumulative ranking curve (SUCRA), however, suggested that dorsal plating fixation is the optimal treatment, with the lowest risk of CTS in DRF patients (dorsal plating fixation: 89.2%; dorsal and volar plating: 57.8%; plaster fixation: 50.9%; non-BrEF: 50.6%; volar plating fixation: 39.6%; BrEF: 38.4%; K-wire fixation: 23.6%). CONCLUSIONS Our network meta-analysis provides evidence that dorsal plating fixation significantly decreases the risk of CTS and could be the method of choice in DRF patients.

No MeSH data available.


Related in: MedlinePlus

Networks of evidence of all trials in this network meta-analysis.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4588632&req=5

f1-medscimonit-21-2837: Networks of evidence of all trials in this network meta-analysis.

Mentions: As shown in Figure 1, the connecting lines show direct comparisons between the two connected interventions and pairs of interventions without direct connection can be indirectly compared through network meta-analysis. The width of the lines indicates the number of trails. The size of nodes corresponds to the overall sample size of intervention. The color of lines represents the risk of bias of enrolled trails. This study included 7 treatments for DRF (BrEF; non-BrEF; K-wire fixation; plaster fixation; dorsal plating fixation; volar plating fixation; dorsal and volar plating fixation).


Comparison of Risk of Carpal Tunnel Syndrome in Patients with Distal Radius Fractures After 7 Treatments.

Zhao HL, Wang GB, Jia YQ, Zhu SC, Zhang FF, Liu HM - Med. Sci. Monit. (2015)

Networks of evidence of all trials in this network meta-analysis.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4588632&req=5

f1-medscimonit-21-2837: Networks of evidence of all trials in this network meta-analysis.
Mentions: As shown in Figure 1, the connecting lines show direct comparisons between the two connected interventions and pairs of interventions without direct connection can be indirectly compared through network meta-analysis. The width of the lines indicates the number of trails. The size of nodes corresponds to the overall sample size of intervention. The color of lines represents the risk of bias of enrolled trails. This study included 7 treatments for DRF (BrEF; non-BrEF; K-wire fixation; plaster fixation; dorsal plating fixation; volar plating fixation; dorsal and volar plating fixation).

Bottom Line: The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis.Data extracted from the selected studies were analyzed using STATA version 12.0 software.Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05).

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Linyi People's Hospital, Linyi, Shandong, China (mainland).

ABSTRACT
BACKGROUND To compare risk of carpal tunnel syndrome (CTS) in distal radius fracture (DRF) patients after 7 treatments using bridging external fixation (BrEF), non-bridging external fixation (non-BrEF), plaster fixation, K-wire fixation, dorsal plating fixation, volar plating fixation, and dorsal and volar plating by performing a network meta-analysis. MATERIAL AND METHODS An exhaustive search of electronic databases identified randomized controlled trails (RCTs) closely related to our study topic. The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis. Data extracted from the selected studies were analyzed using STATA version 12.0 software. RESULTS The literature search and selection process identified 12 eligible RCTs that contained a total of 1370 DRF patients (394 patients with BrEF, 377 patients with non-BrEF, 89 patients with K-wire fixation, 192 patients with plaster fixation, 42 patients with dorsal plating fixation, 152 patients with volar plating fixation, and 124 patients with dorsal and volar plating fixation). Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05). The value of surface under the cumulative ranking curve (SUCRA), however, suggested that dorsal plating fixation is the optimal treatment, with the lowest risk of CTS in DRF patients (dorsal plating fixation: 89.2%; dorsal and volar plating: 57.8%; plaster fixation: 50.9%; non-BrEF: 50.6%; volar plating fixation: 39.6%; BrEF: 38.4%; K-wire fixation: 23.6%). CONCLUSIONS Our network meta-analysis provides evidence that dorsal plating fixation significantly decreases the risk of CTS and could be the method of choice in DRF patients.

No MeSH data available.


Related in: MedlinePlus