HAND & WRIST
Comparison between Carbon-Peek volar locking plates and titanium volar locking plates in the treatment of distal radius fractures
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2018;6(10):3 Injury. 2017 Oct;48 Suppl 3:S24-S2930 patients undergoing volar plate fixation for an AO type B or C displaced fracture of the distal radius were included in this study to compare two different plates. Patients were randomized to undergo the procedure using either Carbon-Peek volar locking plates or titanium volar locking plates. Follow-up was conducted over a 12-month period and patients were evaluated for forearm range of motion, hand grip strength, key pinch strength, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and a visual analog scale. Dorso-palmar and lateral x-rays were also used to assess radiographic parameters. The results of this study at 12 months indicated no significant differences in functional outcome or radiographic outcome between the two plates.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
Oui = 1
Incertain = 0,5
Non pertinent = 0
Non = 0
L'évaluation des critères de rapport permet d'évaluer la transparence avec laquelle les auteurs rapportent les caractéristiques méthodologiques et les caractéristiques de l'essai dans la publication. L'évaluation est divisée en cinq catégories qui sont présentées ci-dessous.
3/4
Randomization
2/4
Outcome Measurements
3/4
Inclusion / Exclusion
4/4
Therapy Description
4/5
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
L'indice de fragilité est un outil qui aide à l'interprétation des résultats significatifs, en fournissant une mesure de la force d'un résultat. L'indice de fragilité représente le nombre d'événements consécutifs qui doivent être ajoutés à un résultat dichotomique pour que le résultat ne soit plus significatif. Un petit nombre représente un résultat plus faible et un grand nombre un résultat plus fort.
Pourquoi cette étude était-elle nécessaire maintenant ?
The distal radius is one of the most common bones to be fractured, particularly among older adults. Volar plating is a widely used method of fixation for these injuries. Most plates are constructed of a titanium alloy, but more recently, a plate composed of carbon fiber reinforced polyetheretherketone (CFR-PEEK) has been introduced.
Quelle était la principale question de recherche ?
In volar plate fixation of a distal radius fracture, is there any significant difference in functional outcome or radiographic outcome between cases completed using a carbon fiber reinforced polyetheretherketone and cases completed using a titanium plate, assessed over a minimum of 12-month follow-up
Quels sont les résultats importants ?
- Mean DASH at final follow-up did not significantly differ between the CFR-PEEK group (15.3) and the titanium group (12.2) (p>0.05).
- Mean VAS score at final follow-up did not significantly differ between the CFR-PEEK group (3.6) and the titanium group (2.9) (p>0.05).
- Mean range of motion at final follow-up did not significantly differ between the CFR-PEEK group and the titanium group (p>0.05).
- No significant differences in radiographic parameters were recorded between groups at final follow-up.
- No complications were recorded in either group.
De quoi dois-je me souvenir en priorité ?
In volar plating of a displaced distal radius fracture, no significant differences in functional outcome or radiographic outcome were noted between plates composed of carbon fiber reinforced polyetheretherketone and titanium plates after a minimum of 1 year.
Comment cela affectera-t-il les soins prodigués à mes patients ?
The results of this study suggest that similar outcomes are achieved by the CFR-PEEK volar plate to that of the more standard titanium plate for fixation of displaced distal radius fractures.
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