
Hand & Wrist
Post-operative complications rates of 7 management techniques for distal radius fracture
Sci Rep. 2015 Nov 9;5:1531819 randomized control trials comparing various methods of treatment for distal radius fractures were included in this network meta-analysis. The purpose of the study was to compare techniques in terms of their complication rates for carpal tunnel syndrome, pin-track infection, and complex regional pain syndrome. The odds of developing carpal tunnel syndrome or complex regional pain syndrome were insignificantly different between treatments. The odds of developing a pin-track infection were highest in the non-bridging external fixation group, with significantly lower odds seen in plaster fixation, dorsal plating, volar plating, and the lowest odds seen in dorsal-and-volar plating. Cluster analyses consistently found plaster fixation to provide the lowest risk of complications compared to other treatments for carpal tunnel syndrome, complex regional pain syndrome and pin-track infection.
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