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

Contribution plot of included studies in this network meta-analysis (A – bridging external fixation; B – non-bridging external fixation; C – plaster fixation; D – K-wire fixation; E – dorsal plating fixation; F – volar plating fixation; G – dorsal and volar plating fixation).
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4588632&req=5

f2-medscimonit-21-2837: Contribution plot of included studies in this network meta-analysis (A – bridging external fixation; B – non-bridging external fixation; C – plaster fixation; D – K-wire fixation; E – dorsal plating fixation; F – volar plating fixation; G – dorsal and volar plating fixation).

Mentions: The contribution of each study to the results of the network meta-analysis are shown in Figure 2: (1) direct comparison between BrEF and non-BrEF were reported in two studies with contributions to the comparisons between non-BrEF and plaster fixation, non-BrEF and dorsal plating fixation, non-BrEF and volar plating fixation at 50%, 50%, and 50%, respectively, and 20% for the whole network meta-analysis; (2) 2 studies investigated the comparisons between BrEF and plaster fixation and their contributions to the comparisons between non-BrEF and plaster fixation, plaster fixation and dorsal plating fixation, plaster fixation and volar plating fixation were 50%, 50%, and 50%, respectively, with 20% contribution to whole network meta-analysis; (3) one study compared BrEF and dorsal plating fixation and the contributions for non-BrEF and dorsal plating fixation, plaster fixation and dorsal plating fixation, dorsal plating fixation and volar plating fixation were 50%, 50%, and 50%, respectively, with 20% contribution to the whole network meta-analysis; (4) 2 studies reported the direct comparison between BrEF and volar plating fixation and the contribution to the comparisons between non-BrEF and volar plating fixation, plaster fixation and volar plating fixation, dorsal plating fixation and volar plating fixation were 50%, 50%, and 50%, respectively, and 20% to the whole network meta-analysis.


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)

Contribution plot of included studies in this network meta-analysis (A – bridging external fixation; B – non-bridging external fixation; C – plaster fixation; D – K-wire fixation; E – dorsal plating fixation; F – volar plating fixation; G – dorsal and volar plating fixation).
© Copyright Policy
Related In: Results  -  Collection

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

f2-medscimonit-21-2837: Contribution plot of included studies in this network meta-analysis (A – bridging external fixation; B – non-bridging external fixation; C – plaster fixation; D – K-wire fixation; E – dorsal plating fixation; F – volar plating fixation; G – dorsal and volar plating fixation).
Mentions: The contribution of each study to the results of the network meta-analysis are shown in Figure 2: (1) direct comparison between BrEF and non-BrEF were reported in two studies with contributions to the comparisons between non-BrEF and plaster fixation, non-BrEF and dorsal plating fixation, non-BrEF and volar plating fixation at 50%, 50%, and 50%, respectively, and 20% for the whole network meta-analysis; (2) 2 studies investigated the comparisons between BrEF and plaster fixation and their contributions to the comparisons between non-BrEF and plaster fixation, plaster fixation and dorsal plating fixation, plaster fixation and volar plating fixation were 50%, 50%, and 50%, respectively, with 20% contribution to whole network meta-analysis; (3) one study compared BrEF and dorsal plating fixation and the contributions for non-BrEF and dorsal plating fixation, plaster fixation and dorsal plating fixation, dorsal plating fixation and volar plating fixation were 50%, 50%, and 50%, respectively, with 20% contribution to the whole network meta-analysis; (4) 2 studies reported the direct comparison between BrEF and volar plating fixation and the contribution to the comparisons between non-BrEF and volar plating fixation, plaster fixation and volar plating fixation, dorsal plating fixation and volar plating fixation were 50%, 50%, and 50%, respectively, and 20% to the whole network meta-analysis.

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