Safety and Efficacy of Operative Versus Nonsurgical Management of Distal Radius Fractures in Elderly Patients: A Systematic Review and Meta-analysis

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。

Two randomized controlled trials and 6 cohort studies (n=858) evaluating the differences between operative and nonoperative treatment of a distal radius fracture in elderly patients were included in this meta-analysis and systematic review. The study was conducted in order to compare the clinical and radiographic outcomes of either external fixation or open reduction and internal fixation as compared to closed reduction and cast immobilization. Comparable pain, function, range of motion, and risk of minor complications was noted between operative and nonoperative managment strategies, while pooled results demonstrated significantly favourable grip strength and radiographic outcomes following operative management versus nonoperative management. However, a significantly greater risk of major complication was also noted among operatively treated groups.