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

Surface under the cumulative ranking curves of treatment relative ranking of predictive probabilities for comparisons of the carpal tunnel syndrome risk among 7 treatments in distal radius fracture.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4588632&req=5

f4-medscimonit-21-2837: Surface under the cumulative ranking curves of treatment relative ranking of predictive probabilities for comparisons of the carpal tunnel syndrome risk among 7 treatments in distal radius fracture.

Mentions: The relative ranking of estimated probabilities for 7 different treatments for CTS risk in DRF patients were 38.4% for BrEF, 50.3% for non-BrEF, 51.3% for plaster fixation, 22.9% for K-wire fixation, 88.7% for dorsal plating fixation, 40.1% for volar plating fixation and 58.4% for dorsal and volar plating fixation, indicating that dorsal plating fixation has the highest treatment relative ranking of estimated probabilities. The cumulative probability ranking of treatments is shown in Figure 4. The SUCRA values for treatment relative ranking of predictive probabilities of the 7 treatments were 38.4% for BrEF, 50.6% for non-BrEF, 50.9% for plaster fixation, 23.6% for K-wire fixation, 89.2% for dorsal plating fixation, 39.6% for volar plating fixation, and 57.8% for dorsal and volar plating fixation, with dorsal plating fixation as the highest treatment relative ranking of predictive probabilities. Thus, DRF patients with dorsal plating fixation showed the lowest CTS risk and dorsal plating fixation was found to be the optimal method to treat DRF in this pooled group of patients.


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)

Surface under the cumulative ranking curves of treatment relative ranking of predictive probabilities for comparisons of the carpal tunnel syndrome risk among 7 treatments in distal radius fracture.
© Copyright Policy
Related In: Results  -  Collection

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

f4-medscimonit-21-2837: Surface under the cumulative ranking curves of treatment relative ranking of predictive probabilities for comparisons of the carpal tunnel syndrome risk among 7 treatments in distal radius fracture.
Mentions: The relative ranking of estimated probabilities for 7 different treatments for CTS risk in DRF patients were 38.4% for BrEF, 50.3% for non-BrEF, 51.3% for plaster fixation, 22.9% for K-wire fixation, 88.7% for dorsal plating fixation, 40.1% for volar plating fixation and 58.4% for dorsal and volar plating fixation, indicating that dorsal plating fixation has the highest treatment relative ranking of estimated probabilities. The cumulative probability ranking of treatments is shown in Figure 4. The SUCRA values for treatment relative ranking of predictive probabilities of the 7 treatments were 38.4% for BrEF, 50.6% for non-BrEF, 50.9% for plaster fixation, 23.6% for K-wire fixation, 89.2% for dorsal plating fixation, 39.6% for volar plating fixation, and 57.8% for dorsal and volar plating fixation, with dorsal plating fixation as the highest treatment relative ranking of predictive probabilities. Thus, DRF patients with dorsal plating fixation showed the lowest CTS risk and dorsal plating fixation was found to be the optimal method to treat DRF in this pooled group of patients.

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