Early palmar plate fixation of distal radius fractures may benefit patients aged 50 years or older: a randomized trial comparing 2 different treatment protocols

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

80 patients with a displaced distal radius fracture were randomized to primary treatment through either palmar plate fixation or cast immobilization. Patients were assessed over 2-year follow-up, which included patient-reported disability (Disabilities of the Arm, Shoulder, and Hand [DASH]), wrist range of motion, grip strength, adverse events, and cases of secondary surgery. A total of 18/42 patients assigned to cast immobilization demonstrated loss of fracture reduction; 16 of these patients underwent secondary palmar plating. At 2 years, DASH score was significantly lower in the palmar plate group compared to the cast immobilization group. In subgroup analysis, the significant difference between groups when considering patients <65 years of age, but not in patients 65 years of age or older. Significant differences between groups at 2 years were also observed in range of flexion and range of ulnar deviation.