Article ; Online: Pronator quadratus repair after volar plating for distal radius fractures: A systematic review and meta-analysis of randomized controlled trials.
Acta orthopaedica et traumatologica turcica
2023 Volume 57, Issue 4, Page(s) 176–182
Abstract: Objective: The purpose of the current study is to meta-analyze the randomized controlled trials in the literature comparing pronator quadratus repair versus no repair alongside volar plating of distal radius fractures.: Methods: A search of the ... ...
Abstract | Objective: The purpose of the current study is to meta-analyze the randomized controlled trials in the literature comparing pronator quadratus repair versus no repair alongside volar plating of distal radius fractures. Methods: A search of the PUBMED/MEDLINE, EMBASE, and The Cochrane Library databases was performed. Any randomized con- trolled trials comparing pronator quadratus repair versus no repair alongside volar plating of distal radius fractures were included. The relevant information was collected by 2 blinded reviewers using a predetermined data sheet. Clinical outcomes were compared, with all statistical analyses performed using Review Manager Version 5.3. Results: Five randomized controlled trials with 273 patients were included. There was no significant difference in the range of motion in flexion-extension, ulnar-radial deviation, or pronation-supination. There was a significant difference in favor of the no repair group for Disabilities of the Arm, Shoulder and Hand (DASH) Score (MD [Mean Difference]: 2.63, P < .0001) and pronation strength (MD: 13, P < .0001). Furthermore, there was no significant difference in the visual analog scale score. There were 3 complications relating to pronator quadratus repair, in which patients developed carpal tunnel syndrome requiring a release. There was no significant difference in the re-operation rate. Conclusion: This study found that pronator quadratus repair when performing volar plating for distal radius fractures did not result in a significant improvement in functional outcome, range of motion, or strength. Level of evidence: I, Systematic Review of Level 1 Studies, Level I, Therapeutic Study. |
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MeSH term(s) | Humans ; Radius Fractures/surgery ; Wrist Fractures ; Bone Plates ; Randomized Controlled Trials as Topic ; Fracture Fixation, Internal/adverse effects ; Range of Motion, Articular |
Language | English |
Publishing date | 2023-07-20 |
Publishing country | Turkey |
Document type | Meta-Analysis ; Systematic Review ; Journal Article |
ISSN | 2589-1294 |
ISSN (online) | 2589-1294 |
DOI | 10.5152/j.aott.2023.22154 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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