Ulnar styloid process nonunion and outcome in patients with a distal radius fracture: A meta-analysis of comparative clinical trials |
| |
| Institution: | 1. Department of Surgery-Traumatology, Leiden University Medical Center, Leiden, The Netherlands;2. Department of Orthopedic Surgery, Academic Medical Center, Amsterdam, The Netherlands;3. Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Fukuoka, Japan;4. Department of Surgery, Academic Medical Center Amsterdam, Amsterdam, The Netherlands;1. Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China;2. Medical College, Nankai University, No. 94 Weijin Road, Tianjin 300071, PR China;1. Leicester Royal Infirmary, Leicester, UK;2. University Hospitals of North Tees, Stockton-On-Tees, UK;3. Northampton General Hospital, Northampton, UK;4. University Hospitals of Coventry and Warwickshire, UK;5. Harcourt Building, 8 Harcourt Crescent, Sheffield, UK;1. Pulvertaft Hand Centre, Royal Derby Hospital, Derby, UK;2. Orthopaedic Department, Royal Cornwall Hospital Trust, Truro, UK;1. University of Toronto, Department of Orthopaedic Surgery, Toronto, ON, Canada;2. Sunnybrook Health Sciences Center, Holland Orthopaedic and Arthritic Center, Toronto, ON, Canada;1. Center for Education in Health Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL |
| |
| Abstract: | PurposeThere is no consensus on the relation between ulnar styloid process nonunion and outcome in patients with distal radius fractures. The aim of this study was to analyze whether patient-reported outcome is influenced by the nonunion of the accompanying ulnar styloid fracture in distal radius fracture patients.MethodsA meta-analysis of published studies comparing outcomes after distal radius fractures with a united versus a non-united ulnar styloid process was performed. In addition, if provided by the authors, the raw data of these studies were pooled and analysed as one study. The outcome measures of the analyses included patient-reported outcome, functional outcome, grip-strength, pain, and distal radioulnar joint (DRUJ) instability.ResultsData from six comparative studies were included, concerning 365 patients with a distal radius fracture. One hundred and thirty-five patients with an ulnar styloid union were compared with 230 patients with a nonunion of the ulnar styloid. No significant differences were found between groups regarding any outcome measure.ConclusionBased on this meta-analysis, there is no relation between the nonunion of the ulnar styloid process and function in patients with a distal radius fracture. |
| |
| Keywords: | Distal radius fracture Nonunion Ulnar styloid process Wrist fracture Distal radioulnar joint instability Outcome |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
