Surgical plating versus closed reduction for fractures in the distal radius in older patients: a cost-effectiveness analysis from the hospital perspective

Article Surgery

Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients A Secondary Analysis of a Randomized Clinical Trial

Andrew Lawson et al.

Summary: Surgical treatment may not be superior to nonsurgical treatment for displaced distal radius fractures in patients aged 60 years or older, but patients in the VLP fixation group reported higher treatment success rates.

JAMA SURGERY (2022)

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Article Surgery

Cost-Effectiveness of Treatments after Closed Extraarticular Distal Radius Fractures in Older Adults from the WRIST Clinical Trial

Alfred P. Yoon et al.

Summary: Casting is the most cost-effective treatment modality for elderly patients with closed extraarticular distal radius fractures, while percutaneous pinning may be the most cost-effective surgical intervention in unstable closed fractures.

PLASTIC AND RECONSTRUCTIVE SURGERY (2021)

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Article Surgery

Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients A Randomized Clinical Trial

Andrew Lawson et al.

Summary: This study found no significant difference in improvement of wrist pain or function at 12 months between VLP fixation and CR for displaced distal radius fractures in patients aged 60 and older.

JAMA SURGERY (2021)

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Article Orthopedics

Cast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures

S. S. Hassellund et al.

Summary: In patients aged over 65 years with displaced distal radius fractures, nonoperative treatment was found to be non-inferior to operative treatment after one year based on QuickDASH scores. However, the operative group showed faster recovery and higher satisfaction with wrist function. Previous trials have shown mixed results, but this randomized trial suggests that most elderly patients may benefit from nonoperative treatment.

BONE & JOINT JOURNAL (2021)

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Article Orthopedics

Volar Plate Fixation Versus Cast Immobilization in Acceptably Reduced Intra-Articular Distal Radial Fractures A Randomized Controlled Trial

C. A. Selles et al.

Summary: Operative treatment with volar plate fixation resulted in significantly better functional outcomes for patients with acceptably reduced intra-articular distal radial fractures compared to nonoperative treatment. Consequently, surgical treatment is recommended for these fractures to achieve better long-term results.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2021)

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Article Orthopedics

Cost Analysis of Volar Plate Fixation Versus Plaster Cast Immobilization for Intra-Articular Distal Radial Fractures

C. A. Selles et al.

Summary: The study compared the cost-effectiveness of operative and nonoperative treatment for intra-articular distal radial fractures, finding that operative treatment is more effective but also more expensive. Especially in patients with paid employment, operative treatment is shown to be both more effective and less costly.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2021)

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Article Orthopedics

Volar Plate Fixation Versus Cast Immobilization in Acceptably Reduced Intra-Articular Distal Radial Fractures A Randomized Controlled Trial

C. A. Selles et al.

Summary: A multicenter randomized controlled trial compared functional outcomes of cast immobilization and volar plate fixation for acceptably reduced distal radial fractures. Patients in the operative group showed significantly better functional outcomes measured with the PRWE at various time points. Additionally, a 28% rate of subsequent surgery was identified in the nonoperative group.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2021)

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Article Orthopedics

Cost Analysis of Volar Plate Fixation Versus Plaster Cast Immobilization for Intra-Articular Distal Radial Fractures

C. A. Selles et al.

Summary: The study found that operative treatment is more effective than nonoperative treatment in adult patients, especially for those with paid employment, at a lower cost. While operative treatment is slightly more expensive, it provides better functional outcomes and quality of life.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2021)

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Review Surgery

VOLAR LOCKING PLATE FIXATION VERSUS CLOSED REDUCTION FOR DISTAL RADIAL FRACTURES IN ADULTS A Systematic Review and Meta-Analysis

Andrew Lawson et al.

Summary: Through comparing the effects of VLP fixation and CR in the treatment of distal radial fractures in adults, it was found that there were no clinically important differences in patient-reported pain and function between the two at 12 months post-treatment. Despite VLP fixation resulting in better fracture alignment, it did not lead to significant improvements in pain and function.

JBJS REVIEWS (2021)

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Review Orthopedics

What Is the Relative Effectiveness of the Various Surgical Treatment Options for Distal Radius Fractures? A Systematic Review and Network Meta-analysis of Randomized Controlled Trials

Taylor Woolnough et al.

Summary: This study conducted a network meta-analysis comparing the effects of different treatment methods on the one-year functional outcomes of distal radius fractures (DRFs) patients. Results showed that there were no significant differences in DASH scores among various treatment methods within one year, but volar plating may be associated with a lower risk of complications.

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH (2021)

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Article Orthopedics