Complications following dorsal versus volar plate fixation of distal radius fracture: A meta-analysis

Author:

Wei Jie1,Yang Tu-Bao1,Luo Wei2,Qin Jia-Bi1,Kong Fan-Jing1

Affiliation:

1. Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha, Hunan Province, China

2. Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan Province, China

Abstract

Objectives: A meta-analysis to compare complication rates following volar or dorsal surgical fixation of distal radius fracture. Methods: A detailed search of PubMed®/MEDLINE® was undertaken to identify randomized and nonrandomized controlled trials published before 25 August 2012 that compared volar with dorsal fixation, in patients with distal radius fracture. Results: A quantitative meta-analysis of 12 trials (952 patients) was performed. There was no between-group difference in the overall rate of complications. Volar fixation was associated with significant increases in neuropathy (relative risk [RR] 2.19; 95% confidence intervals [CI] 1.27, 3.76) and carpal tunnel syndrome (RR 4.56; 95% CI 1.02, 20.44), and a reduction in tendon irritation, compared with the dorsal approach (RR 0.38; 95% CI 0.17, 0.86). Conclusions: Dorsal fixation offers a lower risk of neuropathy and carpal tunnel syndrome than the volar approach, but a higher risk of tendon irritation. Patients with a distal radius fracture can expect similar outcomes after volar or dorsal surgery.

Publisher

SAGE Publications

Subject

Biochemistry, medical,Cell Biology,Biochemistry,General Medicine

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