桡骨远端骨折
医学
固定(群体遗传学)
纵向研究
荟萃分析
桡骨骨折
纵向数据
物理疗法
外科
物理医学与康复
计算机科学
手腕
内科学
数据挖掘
人口
病理
环境卫生
作者
Susan B Stinton,Petra L. Graham,Niamh Moloney,Liam Maclachlan,Dale W. Edgar,Evangelos Pappas
出处
期刊:The bone & joint journal
[British Editorial Society of Bone and Joint Surgery]
日期:2017-12-01
卷期号:99-B (12): 1665-1676
被引量:14
标识
DOI:10.1302/0301-620x.99b12.bjj-2017-0348.r1
摘要
Aims To synthesise the literature and perform a meta-analysis detailing the longitudinal recovery in the first two years following a distal radius fracture (DRF) managed with volar plate fixation. Materials and Methods Three databases were searched to identify relevant articles. Following eligibility screening and quality assessment, data were extracted and outcomes were assimilated at the post-operative time points of interest. A state-of-the-art longitudinal mixed-effects meta-analysis model was employed to analyse the data. Results The search identified 5698 articles, of which 46 study reports met the selection criteria. High levels of disability and impairment were reported in the immediate post-operative period with subsequently a rapid initial improvement followed by more gradual improvement for up to one year. The results highlight that the period associated with the greatest physical recovery is in the first three months and suggest that the endpoint of treatment outcomes is best measured at one year post-surgery. Conclusion Clinically meaningful improvements in outcomes can be expected for 12 months, after which progress plateaus and reaches normal values. This paper adopted a novel approach to meta-analyses in that the research question was of a longitudinal nature, which required a unique method of statistical analysis. Cite this article: Bone Joint J 2017;99-B:1665–76.
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