Pronator quadratus repair after volar plating for distal radius fractures: A systematic review and meta-analysis of randomized controlled trials.

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2023-07-01 DOI:10.5152/j.aott.2023.22154
Luke P Turley, Eoghan T Hurley, Ailbhe White-Gibson, Kevin Clesham, Frank Lyons
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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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桡骨远端骨折掌侧钢板内固定后旋方肌修复:随机对照试验的系统综述和荟萃分析。
目的:本研究的目的是荟萃分析文献中比较桡骨远端骨折旋方肌修复与掌侧钢板不修复的随机对照试验。方法:检索PUBMED/MEDLINE、EMBASE和the Cochrane Library数据库。包括任何比较桡骨远端骨折旋前方肌修复与掌侧钢板不修复的随机对照试验。相关信息由2名盲法评审员使用预先确定的数据表收集。将临床结果与使用Review Manager 5.3版进行的所有统计分析进行比较。结果:纳入了五项随机对照试验,共273名患者。屈伸、尺桡骨偏斜或旋前-旋后的活动范围没有显著差异。手臂、肩膀和手部残疾(DASH)评分(MD[平均差异]:2.63,P<.0001)和内旋力量(MD:13,P<.0001)有利于无修复组。此外,视觉模拟量表评分也没有显著差异。旋方肌修复有3种并发症,其中患者出现腕管综合征,需要松解。再手术率无显著差异。结论:本研究发现,对桡骨远端骨折进行掌侧钢板治疗时,旋方肌修复并没有显著改善功能结果、活动范围或力量。证据级别:I,1级研究的系统回顾,I级,治疗性研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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