Centre for Evidence Based Hand Surgery

HandSRev


Distal radius fractures

 

 

GUIDELINES

Best practice for management of distal radial fractures (DRFs)
The British Orthopaedic Association and the British Society for Surgery of the Hand.
London: The British Orthopaedic Association and the British Society for Surgery of the Hand, 2018.

British Orthopaedic Association Standards For Trauma (BOAST) 16 - The management of distal radial fractures (PDF)

American Academy of Orthopaedic Surgeons clinical practice guideline on: the treatment of distal radius fractures.
Lichtman DM, Bindra RR, Boyer MI, Putnam MD, Ring D, Slutsky DJ, Taras JS, Watters WC 3rd, Goldberg MJ, Keith M, Turkelson CM, Wies JL, Haralson RH 3rd, Boyer KM, Hitchcock K, Raymond L; American Academy of Orthopaedic Surgeons.
J Bone Joint Surg Am. 2011 Apr 20;93(8):775-8. doi: 10.2106/JBJS.938ebo. No abstract available.
Link to full guideline (PDF)

NICE guideline [NG38] - Fractures (non-complex): assessment and management

ACR appropriateness criteria - Acute Hand and Wrist Trauma

ACR–SCBT-MR–SPR–SSR Practice Parameter for the Performance of Magnetic Resonance Imaging (MRI) of the Wrist (PDF)

 
General

Interventions for distal radius fractures: A network meta-analysis of randomized trials.
Vannabouathong C, Hussain N, Guerra-Farfan E, Bhandari M.
J Am Acad Orthop Surg. 2019 Jul 1;27(13):e596-e605. doi: 10.5435/JAAOS-D-18-00424.

A systematic review of the quality of distal radius systematic reviews: Methodology and reporting assessment.
Belloti JC, Okamura A, Scheeren J, Faloppa F, Ynoe de Moraes V.
PLoS One. 2019 Jan 23;14(1):e0206895. doi: 10.1371/journal.pone.0206895. eCollection 2019.

Registration and outcome-reporting bias in randomized controlled trials of distal radial fracture treatment.
Lee S, Khan T, Grindlay D, Karantana A.
JB JS Open Access. 2018 Jul 24;3(3):e0065. doi: 10.2106/JBJS.OA.17.00065. eCollection 2018 Sep 25.

Are validated outcome measures used in distal radial fractures truly valid? A critical assessment using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.
Kleinlugtenbelt YV, Nienhuis RW, Bhandari M, Goslings JC, Poolman RW, Scholtes VA.
Bone Joint Res. 2016 Apr;5(4):153-61. doi: 10.1302/2046-3758.54.2000462.

Treatment of distal radius fractures.
Kvernmo HD, Krukhaug Y.
Tidsskr Nor Laegeforen. 2013 Feb 19;133(4):405-11. doi: 10.4045/tidsskr.12.0297. English, Norwegian.

 
Epidemiology

Sarcopenia in distal radius fractures: systematic review of the literature and current findings.
Artiaco S, Fusini F, Pennacchio G, Colzani G, Battiston B, Bianchi P.
Eur J Orthop Surg Traumatol. 2020 May 15. doi: 10.1007/s00590-020-02697-0. [Epub ahead of print]

Association between radiological and patient-reported outcome in adults with a displaced distal radius fracture: A systematic review and meta-analysis.
Mulders MAM, Detering R, Rikli DA, Rosenwasser MP, Goslings JC, Schep NWL.
J Hand Surg Am. 2018 Aug;43(8):710-719.e5. doi: 10.1016/j.jhsa.2018.05.003. Epub 2018 Jun 13.

Systematic review and pooled analysis of the rate of carpal tunnel syndrome after prophylactic carpal tunnel release in patients with a distal radius fracture.
Al-Amin Z, Senyürek SA, Van Lieshout EMM, Wijffels MME.
Hand Surg Rehabil. 2018 Jun;37(3):155-159. doi: 10.1016/j.hansur.2018.02.004. Epub 2018 Mar 24.

Effects of ulnar styloid fractures on unstable distal radius fracture outcomes: A systematic review of comparative studies.
Almedghio S, Arshad MS, Almari F, Chakrabarti I.
J Wrist Surg. 2018 Apr;7(2):172-181. doi: 10.1055/s-0037-1607214. Epub 2017 Oct 11.

The effect of socioeconomic factors on outcomes of distal radius fractures: a systematic review.
Truong JL, Doherty C, Suh N.
Hand (N Y). 2018 Sep;13(5):509-515. doi: 10.1177/1558944717735945. Epub 2017 Oct 11.

Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis.
Mulders MAM, Fuhri Snethlage LJ, de Muinck Keizer RO, Goslings JC, Schep NWL.
J Hand Surg Eur Vol. 2018 Feb;43(2):150-157. doi: 10.1177/1753193417730323. Epub 2017 Sep 20.

Does concomitant ulnar styloid fracture and distal radius fracture portend poorer outcomes? A meta-analysis of comparative studies.
Yuan C, Zhang H, Liu H, Gu J.
Injury. 2017 Nov;48(11):2575-2581. doi: 10.1016/j.injury.2017.08.061. Epub 2017 Aug 31.

Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review.
Lameijer CM, Ten Duis HJ, Dusseldorp IV, Dijkstra PU, van der Sluis CK.
Arch Orthop Trauma Surg. 2017 Nov;137(11):1499-1513. doi: 10.1007/s00402-017-2765-0. Epub 2017 Aug 2.

Do we underestimate the predictive value of the ulnar styloid involvement in distal radius fractures? A systematic review and meta-analysis of clinical studies.
Baradaran A, Moradi A, Sadeghi R, Ebrahimzadeh MH.
J Hand Surg Eur Vol. 2017 Jul;42(6):642-645. doi: 10.1177/1753193416663671. Epub 2016 Aug 23.

Predictors of unstable distal radius fractures: a systematic review and meta-analysis.
Walenkamp MM, Aydin S, Mulders MA, Goslings JC, Schep NW.
J Hand Surg Eur Vol. 2016 Jun;41(5):501-15. doi: 10.1177/1753193415604795. Epub 2015 Sep 29.

The unstable distal radius fracture - how do we define it? a systematic review.
Walenkamp MM, Vos LM, Strackee SD, Goslings JC, Schep NW.
J Wrist Surg. 2015 Nov;4(4):307-16. doi: 10.1055/s-0035-1556860.

Comparison of risk of carpal tunnel syndrome in patients with distal radius fractures after 7 treatments.
Zhao HL, Wang GB, Jia YQ, Zhu SC, Zhang FF, Liu HM.
Med Sci Monit. 2015 Sep 22;21:2837-44. doi: 10.12659/MSM.894075.

Influence of coincident distal radius fracture in patients with hip fracture: single-centre series and meta-analysis.
Uzoigwe CE, Venkatesan M, Johnson N, Lee K, Magaji S, Cutler L.
J Orthop Traumatol. 2015 Jun;16(2):93-7. doi: 10.1007/s10195-013-0281-8. Epub 2013 Dec 29.

What is the effect of the weather on trauma workload? A systematic review of the literature.
Ali AM, Willett K.
Injury. 2015 Jun;46(6):945-53. doi: 10.1016/j.injury.2015.03.016. Epub 2015 Mar 16.

Ulnar styloid process nonunion and outcome in patients with a distal radius fracture: a meta-analysis of comparative clinical trials.
Wijffels MM, Keizer J, Buijze GA, Zenke Y, Krijnen P, Schep NW, Schipper IB.
Injury. 2014 Dec;45(12):1889-95. doi: 10.1016/j.injury.2014.08.007. Epub 2014 Aug 13.

Health status and (health-related) quality of life during the recovery of distal radius fractures: a systematic review.
Van Son MA, De Vries J, Roukema JA, Den Oudsten BL.
Qual Life Res. 2013 Nov;22(9):2399-416. doi: 10.1007/s11136-013-0391-z. Epub 2013 Mar 22.

Analysis of publication bias in the literature for distal radius fracture.
Sando IC, Malay S, Chung KC.
J Hand Surg Am. 2013 May;38(5):927-934.e5. doi: 10.1016/j.jhsa.2013.02.023. Epub 2013 Apr 6.

 
Diagnosis & assessment

Validity and reliability of interactive virtual reality in assessing the musculoskeletal system: A systematic review.
Gumaa M, Khaireldin A, Rehan Youssef A.
Curr Rev Musculoskelet Med. 2021 Jan 29:1-15. doi: 10.1007/s12178-021-09696-6. Online ahead of print.

Fracture-dislocations of the forearm joint: a systematic review of the literature and a comprehensive locker-based classification system.
Artiaco S, Fusini F, Sard A, Dutto E, Massè A, Battiston B.
J Orthop Traumatol. 2020 Dec 2;21(1):21. doi: 10.1186/s10195-020-00562-8.

Distal radius fractures and radiographic assessment: a systematic review of measurement accuracy.
Jensen J, Rasmussen BS, Duus LA, Torfing T, Precht H, Tromborg H, Graumann O.
Acta Radiol. 2019 Mar 7:284185119834687. doi: 10.1177/0284185119834687. [Epub ahead of print]

Review article: Best practice management of closed hand and wrist injuries in the emergency department (part 5 of the musculoskeletal injuries rapid review series).
Strudwick K, McPhee M, Bell A, Martin-Khan M, Russell T.
Emerg Med Australas. 2018 Oct;30(5):610-640. doi: 10.1111/1742-6723.12969. Epub 2018 May 24.

A structured review addressing the use of radiographic measures of alignment and the definition of acceptability in patients with distal radius fractures.
Lalone EA, Grewal R, King GJ, MacDermid JC.
Hand (N Y). 2015 Dec;10(4):621-38. doi: 10.1007/s11552-015-9772-9. Epub 2015 Jul 9.

 
Treatments - non-surgical & rehabilitation

Rehabilitation for distal radial fractures in adults.
Handoll HH, Elliott J.
Cochrane Database Syst Rev. 2015 Sep 25;9:CD003324. doi: 10.1002/14651858.CD003324.pub3.

External fixation versus conservative treatment for distal radial fractures in adults.
Handoll HH, Huntley JS, Madhok R.
Cochrane Database Syst Rev. 2007 Jul 18;(3):CD006194.

Conservative interventions for treating distal radial fractures in adults.
Handoll HH, Madhok R.
Cochrane Database Syst Rev. 2003;(2):CD000314.

Systematic review of clinical practice guidelines for adults with fractures: identification of best evidence for rehabilitation to develop the WHO's Package of Interventions for Rehabilitation.
Gimigliano F, Liguori S, Moretti A, Toro G, Rauch A, Negrini S; other members of the Technical Working Group, Curci C, Patrini M, Peschi L, Pournajaf S, Sgarbanti M, Iolascon G.
J Orthop Traumatol. 2020 Nov 14;21(1):20. doi: 10.1186/s10195-020-00560-w.

Comparison of outcomes between nonsurgical and surgical treatment of distal radius fracture: a systematic review update and meta-analysis.
He B, Tian X, Ji G, Han A.
Arch Orthop Trauma Surg. 2020 Aug;140(8):1143-1153. doi: 10.1007/s00402-020-03487-3. Epub 2020 May 28.

Intelligent rehabilitation assistance tools for distal radius fracture: A systematic review based on literatures and mobile application stores.
Chen Y, Yu Y, Lin X, Han Z, Feng Z, Hua X, Chen D, Xu X, Zhang Y, Wang G.
Comput Math Methods Med. 2020 Sep 29;2020:7613569. doi: 10.1155/2020/7613569. eCollection 2020.

Surgical or non-surgical treatment of traumatic skeletal fractures in adults: systematic review and meta-analysis of benefits and harms.
Skou ST, Juhl CB, Hare KB, Lohmander LS, Roos EM.
Syst Rev. 2020 Aug 13;9(1):179. doi: 10.1186/s13643-020-01424-4.

Nonoperative treatment versus volar locking plate fixation for elderly patients with distal radial fracture: a systematic review and meta-analysis.
Li Q, Ke C, Han S, Xu X, Cong YX, Shang K, Liang JD, Zhang BF.
J Orthop Surg Res. 2020 Jul 14;15(1):263. doi: 10.1186/s13018-020-01734-2.

Operative vs nonoperative treatment of distal radius fractures in adults: A systematic review and meta-analysis.
Ochen Y, Peek J, van der Velde D, Beeres FJP, van Heijl M, Groenwold RHH, Houwert RM, Heng M.
JAMA Netw Open. 2020 Apr 1;3(4):e203497. doi: 10.1001/jamanetworkopen.2020.3497.

The effectiveness and safety of plaster splint and splints for distal radius fractures: A systematic review and meta-analysis of randomized controlled trials.
Cui X, Liang L, Zhang H, Li Y, Cheng H, Liu G, Cheng Y, Du Y, Liu J, Wang Z, Tian Y.
Medicine (Baltimore). 2020 Feb;99(9):e19211. doi: 10.1097/MD.0000000000019211.

Duration of cast immobilization in distal radial fractures: A systematic review.
Delft EAKV, Gelder TGV, Vries R, Vermeulen J, Bloemers FW.
J Wrist Surg. 2019 Oct;8(5):430-438. doi: 10.1055/s-0039-1683433. Epub 2019 Mar 18.

Interventions for distal radius fractures: A network meta-analysis of randomized trials.
Vannabouathong C, Hussain N, Guerra-Farfan E, Bhandari M.
J Am Acad Orthop Surg. 2019 Jul 1;27(13):e596-e605. doi: 10.5435/JAAOS-D-18-00424.

Treatment of radius or ulna fractures in the elderly: A systematic review covering effectiveness, safety, economic aspects and current practice.
Mellstrand Navarro C, Brolund A, Ekholm C, Heintz E, Hoxha Ekström E, Josefsson PO, Leander L, Nordström P, Zidén L, Stenström K.
PLoS One. 2019 Mar 28;14(3):e0214362. doi: 10.1371/journal.pone.0214362. eCollection 2019.

Closed reduction of distal radius fractures: a systematic review and meta-analysis.
Søsborg-Würtz H, Corap Gellert S, Ladeby Erichsen J, Viberg B.
EFORT Open Rev. 2018 Apr 26;3(4):114-120. doi: 10.1302/2058-5241.3.170063. eCollection 2018 Apr.

Review article: Best practice management of closed hand and wrist injuries in the emergency department (part 5 of the musculoskeletal injuries rapid review series).
Strudwick K, McPhee M, Bell A, Martin-Khan M, Russell T.
Emerg Med Australas. 2018 Oct;30(5):610-640. doi: 10.1111/1742-6723.12969. Epub 2018 May 24.

Treatment Options of Arm Fractures in the Elderly – A Systematic Review and Assessment of the Medical, Economic, Social and Ethical Aspects [Internet].
Swedish Council on Health Technology Assessment.
Stockholm: Swedish Council on Health Technology Assessment (SBU); 2017 Aug 22.

Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation: a systematic review.
Bruder AM, Shields N, Dodd KJ, Taylor NF.
J Physiother. 2017 Oct;63(4):205-220. doi: 10.1016/j.jphys.2017.08.009. Epub 2017 Sep 21.

Healing of fracture nonunions treated with low-intensity pulsed ultrasound (LIPUS): A systematic review and meta-analysis.
Leighton R, Watson JT, Giannoudis P, Papakostidis C, Harrison A, Steen RG.
Injury. 2017 Jul;48(7):1339-1347. doi: 10.1016/j.injury.2017.05.016. Epub 2017 May 15.

Current role and application of teriparatide in fracture healing of osteoporotic patients: A systematic review.
Kim SM, Kang KC, Kim JW, Lim SJ, Hahn MH.
J Bone Metab. 2017 Feb;24(1):65-73. doi: 10.11005/jbm.2017.24.1.65. Epub 2017 Feb 28.

Low intensity pulsed ultrasound for bone healing: systematic review of randomized controlled trials.
Schandelmaier S, Kaushal A, Lytvyn L, Heels-Ansdell D, Siemieniuk RA, Agoritsas T, Guyatt GH, Vandvik PO, Couban R, Mollon B, Busse JW.
BMJ. 2017 Feb 22;356:j656. doi: 10.1136/bmj.j656.

Efficacy of vitamin C in preventing complex regional pain syndrome after wrist fracture: A systematic review and meta-analysis.
Aim F, Klouche S, Frison A, Bauer T, Hardy P.
Orthop Traumatol Surg Res. 2017 May;103(3):465-470. doi: 10.1016/j.otsr.2016.12.021. Epub 2017 Mar 4.

Comparison of effects of seven treatment methods for distal radius fracture on minimizing complex regional pain syndrome.
Wang JH, Sun T.
Arch Med Sci. 2017 Feb 1;13(1):163-173. doi: 10.5114/aoms.2016.59794.

Effectiveness of occupational therapy interventions for adults with musculoskeletal conditions of the forearm, wrist, and hand: A systematic review.
Roll SC, Hardison ME.
Am J Occup Ther. 2017 Jan/Feb;71(1):7101180010p1-7101180010p12. doi: 10.5014/ajot.2017.023234.

Internal fixation vs conservative treatment for displaced distal radius fractures: a meta-analysis of randomized controlled trials.
Yu GS, Lin YB, Le LS, Zhan MF, Jiang XX.
Ulus Travma Acil Cerrahi Derg. 2016 May;22(3):233-41. doi: 10.5505/tjtes.2015.05995.

Safety and efficacy of operative versus nonsurgical management of distal radius fractures in elderly patients: a systematic review and meta-analysis.
Chen Y, Chen X, Li Z, Yan H, Zhou F, Gao W.
J Hand Surg Am. 2016 Mar;41(3):404-13. doi: 10.1016/j.jhsa.2015.12.008. Epub 2016 Jan 20.

Enhancement of bone-healing by low-intensity pulsed ultrasound: A systematic review.
Rutten S, van den Bekerom MP, Sierevelt IN, Nolte PA.
JBJS Rev. 2016 Mar 29;4(3). pii: 01874474-201603000-00006. doi: 10.2106/JBJS.RVW.O.00027.

Comparison of treatment outcomes between nonsurgical and surgical treatment of distal radius fracture in elderly: a systematic review and meta-analysis.
Ju JH, Jin GZ, Li GX, Hu HY, Hou RX.
Langenbecks Arch Surg. 2015 Oct;400(7):767-79. doi: 10.1007/s00423-015-1324-9. Epub 2015 Aug 30.

Comparison of conservative and operative treatment for distal radius fracture: a meta-analysis of randomized controlled trials.
Song J, Yu AX, Li ZH.
Int J Clin Exp Med. 2015 Oct 15;8(10):17023-35. eCollection 2015.

Vitamin C to prevent complex regional pain syndrome in patients with distal radius fractures: a meta-analysis of randomized controlled trials.
Evaniew N, McCarthy C, Kleinlugtenbelt YV, Ghert M, Bhandari M.
J Orthop Trauma. 2015 Aug;29(8):e235-41. doi: 10.1097/BOT.0000000000000305.

Role of vitamin C in prevention of complex regional pain syndrome after distal radius fractures: a meta-analysis.
Meena S, Sharma P, Gangary SK, Chowdhury B.
Eur J Orthop Surg Traumatol. 2015 May;25(4):637-41. doi: 10.1007/s00590-014-1573-2. Epub 2014 Dec 9.

Bisphosphonates and their influence on fracture healing: a systematic review.
Molvik H, Khan W.
Osteoporos Int. 2015 Apr;26(4):1251-60. doi: 10.1007/s00198-014-3007-8. Epub 2015 Jan 9.

Testing the validity of preventing chronic regional pain syndrome with vitamin C after distal radius unionfracture. [Corrected].
Malay S, Chung KC.
J Hand Surg Am. 2014 Nov;39(11):2251-7. doi: 10.1016/j.jhsa.2014.08.009. Epub 2014 Sep 16.
Erratum in: J Hand Surg Am. 2014 Dec;39(12):2551.

Therapist supervised clinic-based therapy versus instruction in a home program following distal radius fracture: a systematic review.
Valdes K, Naughton N, Michlovitz S.
J Hand Ther. 2014 Jul-Sep;27(3):165-73; quiz 174. doi: 10.1016/j.jht.2013.12.010. Epub 2014 Jan 3.

Delayed/non-union of upper limb fractures with bisphosphonates: systematic review and recommendations.
Ng AJ, Yue B, Joseph S, Richardson M.
ANZ J Surg. 2014 Apr;84(4):218-24. doi: 10.1111/ans.12536. Epub 2014 Feb 17.

A systematic review of outcomes and complications of treating unstable distal radius fractures in the elderly.
Diaz-Garcia RJ, Oda T, Shauver MJ, Chung KC.
J Hand Surg Am. 2011 May;36(5):824-35.e2. doi: 10.1016/j.jhsa.2011.02.005.

Exercise reduces impairment and improves activity in people after some upper limb fractures: a systematic review.
Bruder A, Taylor NF, Dodd KJ, Shields N.
J Physiother. 2011;57(2):71-82. doi: 10.1016/S1836-9553(11)70017-0.

 
Treatments - surgical

Percutaneous pinning for treating distal radial fractures in adults.
Karantana A, Handoll HH, Sabouni A.
Cochrane Database Syst Rev. 2020 Feb 7;2:CD006080. doi: 10.1002/14651858.CD006080.pub3.

Pin site care for preventing infections associated with external bone fixators and pins.
Lethaby A, Temple J, Santy-Tomlinson J.
Cochrane Database Syst Rev. 2013 Dec 3;(12):CD004551. doi: 10.1002/14651858.CD004551.pub3.

Bone morphogenetic protein (BMP) for fracture healing in adults.
Garrison KR, Shemilt I, Donell S, Ryder JJ, Mugford M, Harvey I, Song F, Alt V.
Cochrane Database Syst Rev. 2010 Jun 16;(6):CD006950. doi: 10.1002/14651858.CD006950.pub2.

Bone grafts and bone substitutes for treating distal radial fractures in adults.
Handoll HH, Watts AC.
Cochrane Database Syst Rev. 2008 Apr 16;(2):CD006836. doi: 10.1002/14651858.CD006836.pub2.

Different methods of external fixation for treating distal radial fractures in adults.
Handoll HH, Huntley JS, Madhok R.
Cochrane Database Syst Rev. 2008 Jan 23;(1):CD006522. doi: 10.1002/14651858.CD006522.pub2.

Percutaneous pinning for treating distal radial fractures in adults.
Handoll HH, Vaghela MV, Madhok R.
Cochrane Database Syst Rev. 2007 Jul 18;(3):CD006080.

External fixation versus conservative treatment for distal radial fractures in adults.
Handoll HH, Huntley JS, Madhok R.
Cochrane Database Syst Rev. 2007 Jul 18;(3):CD006194.

Closed reduction methods for treating distal radial fractures in adults.
Handoll HH, Madhok R.
Cochrane Database Syst Rev. 2003;(1):CD003763.

Anaesthesia for treating distal radial fracture in adults.
Handoll HH, Madhok R, Dodds C.
Cochrane Database Syst Rev. 2002;(3):CD003320.

Dorsal bridge plate for distal radius fractures: A systematic review.
Fares AB, Childs BR, Polmear MM, Clark DM, Nesti LJ, Dunn JC.
J Hand Surg Am. 2021 Feb 8:S0363-5023(20)30765-6. doi: 10.1016/j.jhsa.2020.11.026. Online ahead of print.

Volar locking plate fixation versus closed reduction for distal radial fractures in adults: A systematic review and meta-analysis.
Lawson A, Na M, Naylor JM, Lewin AM, Harris IA.
JBJS Rev. 2021 Jan 20;9(1):e20.00022. doi: 10.2106/JBJS.RVW.20.00022.

Effectiveness of early versus delayed motion in patients with distal radius fracture treated with volar locking plate: A systematic review and meta-analysis.
Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, Gutiérrez-Monclus R, Jorquera-Aguilera R, Mathoulin C.
Hand Surg Rehabil. 2020 Nov 2:S2468-1229(20)30223-1. doi: 10.1016/j.hansur.2020.10.007. Online ahead of print.

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.
Woolnough T, Axelrod D, Bozzo A, Koziarz A, Koziarz F, Oitment C, Gyemi L, Gormley J, Gouveia K, Johal H.
Clin Orthop Relat Res. 2020 Nov 3. doi: 10.1097/CORR.0000000000001524. Online ahead of print.

Comparison of outcomes between nonsurgical and surgical treatment of distal radius fracture: a systematic review update and meta-analysis.
He B, Tian X, Ji G, Han A.
Arch Orthop Trauma Surg. 2020 Aug;140(8):1143-1153. doi: 10.1007/s00402-020-03487-3. Epub 2020 May 28.

Is pronator quadratus repair necessary to improve outcomes after volar plate fixation of distal radius fractures? A systematic review and meta-analysis.
Shi F, Ren L.
Orthop Traumatol Surg Res. 2020 Nov 11:S1877-0568(20)30191-2. doi: 10.1016/j.otsr.2020.06.003. Online ahead of print.

The efficacy of 3D printing-assisted surgery in treating distal radius fractures: systematic review and meta-analysis.
Zhu D, Zhang Z, Zhang J, Chen D, Shan Y, Xie B, Liu P, Yan L.
J Comp Eff Res. 2020 Sep;9(13):919-931. doi: 10.2217/cer-2020-0099. Epub 2020 Sep 24.

A systematic review and meta-analysis of the pronator quadratus repair following volar plating of distal radius fractures.
Lu CK, Liu WC, Chang CC, Shih CL, Fu YC, Jupiter JB.
J Orthop Surg Res. 2020 Sep 16;15(1):419. doi: 10.1186/s13018-020-01942-w.

Surgical or non-surgical treatment of traumatic skeletal fractures in adults: systematic review and meta-analysis of benefits and harms.
Skou ST, Juhl CB, Hare KB, Lohmander LS, Roos EM.
Syst Rev. 2020 Aug 13;9(1):179. doi: 10.1186/s13643-020-01424-4.

An analysis of complications and bone defect length with the use of induced membrane technique in the upper limb: A systematic review.
O'Connor CM, Perloff E, Drinane J, Cole K, Marinello PG.
Hand (N Y). 2020 Jul 15:1558944720918368. doi: 10.1177/1558944720918368. Online ahead of print.

Volar locked plating versus closed reduction and casting for acute, displaced distal radial fractures in the elderly: A systematic review and meta-analysis of randomized controlled trials.
Stephens AR, Presson AP, McFarland MM, Zhang C, Sirniö K, Mulders MAM, Schep NWL, Tyser AR, Kazmers NH.
J Bone Joint Surg Am. 2020 Jul 15;102(14):1280-1288. doi: 10.2106/JBJS.19.01442.

Nonoperative treatment versus volar locking plate fixation for elderly patients with distal radial fracture: a systematic review and meta-analysis.
Li Q, Ke C, Han S, Xu X, Cong YX, Shang K, Liang JD, Zhang BF.
J Orthop Surg Res. 2020 Jul 14;15(1):263. doi: 10.1186/s13018-020-01734-2.

Interpretations of the term "watershed line" used as reference for volar plating.
Bergsma M, Doornberg JN, Hendrickx L, Hayat B, Kerkhoffs GMMJ, Jhadav B, Jaarsma RL, Bain GI.
J Wrist Surg. 2020 Jun;9(3):268-274. doi: 10.1055/s-0039-1694719. Epub 2019 Aug 13.

Volar locked plating versus closed reduction and casting for acute, displaced distal radial fractures in the elderly: a systematic review and meta-analysis of randomized controlled trials.
Stephens AR, Presson AP, McFarland MM, Zhang C, Sirniö K, Mulders MAM, Schep NWL, Tyser AR, Kazmers NH.
J Bone Joint Surg Am. 2020 May 25. doi: 10.2106/JBJS.19.01442. [Epub ahead of print]

Operative vs nonoperative treatment of distal radius fractures in adults: A systematic review and meta-analysis.
Ochen Y, Peek J, van der Velde D, Beeres FJP, van Heijl M, Groenwold RHH, Houwert RM, Heng M.
JAMA Netw Open. 2020 Apr 1;3(4):e203497. doi: 10.1001/jamanetworkopen.2020.3497.

Fibulo-scapho-lunate fusion after resection of the distal radius: Case series, review of the literature and critical analysis of bone fixation.
Tos P, Odella S, Crosio A, Ciclamini D, Piana R, Bastoni S, Daolio PA.
Injury. 2020 Mar 9. pii: S0020-1383(20)30239-4. doi: 10.1016/j.injury.2020.03.017. [Epub ahead of print]

Volar plating: Imaging modalities for the detection of screw penetration.
Bergsma M, Denk K, Doornberg JN, van den Bekerom MPJ, Kerkhoffs GMMJ, Jaarsma RL, Obdeijn MC.
J Wrist Surg. 2019 Dec;8(6):520-530. doi: 10.1055/s-0039-1681026. Epub 2019 Mar 5.

Long term outcomes of open reduction internal fixation versus external fixation of distal radius fractures: A meta-analysis.
Gouk C, Ng SK, Knight M, Bindra R, Thomas M.
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Intramedullary nail versus volar locking plate fixation for the treatment of extra-articular or simple intra-articular distal radius fractures: systematic review and meta-analysis.
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Volar locking plates versus K-wire/pin fixation for the treatment of distal radial fractures: a systematic review and quantitative synthesis.
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