A meta-analysis comparing complications of anterior versus dorsal osteotomy and plating for distal radial malunions-Reference-Cited by-同舟云学术

A meta-analysis comparing complications of anterior versus dorsal osteotomy and plating for distal radial malunions

Published:2024-08-09 Issue:8 Volume:49 Page:956-964
ISSN:1753-1934
Container-title:Journal of Hand Surgery (European Volume)
language:en
Short-container-title:J Hand Surg Eur Vol

Author:

Essa Ahmad¹,Paul Ryan¹²,Khan Shawn¹,Avisar Erez³,Chan Andrea¹²,Persitz Jonathan¹²^ORCID

Affiliation:

1. University of Toronto, Temerty Faculty of Medicine, Toronto, Ontario, Canada

2. Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, University Health Network, Toronto Western Hospital, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada

3. The Hand and Upper Extremity Surgery Unit, Department of Orthopaedic Surgery, Yitzhak Shamir Medical Center affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tzrifin, Israel

Abstract

This systematic review and meta-analysis compare the incidences of complications, reoperations and hardware removal between anterior and dorsal plating after corrective osteotomy for dorsally angulated distal radial malunions. A total of 403 patients were included; 253 patients underwent anterior corrective osteotomy and 150 underwent dorsal corrective osteotomy. Mean follow-up was 30 months. Anterior plating was associated with fewer reoperations (9% vs. 28%), less hardware removal (3% vs. 18%) and comparable major complications (5% vs. 6%) compared to dorsal plating. The adjusted model showed a significant reduction (approximately 85%) in the odds of reoperation and hardware removal in the anterior group. There was no difference in major or minor complications between the groups. Surgeons should be fully aware of the increased risks when using dorsal plate fixation after corrective osteotomy for dorsally angulated distal radial malunions.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/17531934241254962

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