title: Comparison of Risk of Carpal Tunnel Syndrome in Patients with Distal Radius Fractures After 7 Treatments.
abstract: BACKGROUND To compare risk of carpal tunnel syndrome (CTS) in distal radius fracture (DRF) patients after 7 treatments using bridging external fixation (BrEF), non-bridging external fixation (non-BrEF), plaster fixation, K-wire fixation, dorsal plating fixation, volar plating fixation, and dorsal and volar plating by performing a network meta-analysis. MATERIAL AND METHODS An exhaustive search of electronic databases identified randomized controlled trails (RCTs) closely related to our study topic. The published articles were screened, based on predefined inclusion and exclusion criteria, to select high-quality studies for the present network meta-analysis. Data extracted from the selected studies were analyzed using STATA version 12.0 software. RESULTS The literature search and selection process identified 12 eligible RCTs that contained a total of 1370 DRF patients (394 patients with BrEF, 377 patients with non-BrEF, 89 patients with K-wire fixation, 192 patients with plaster fixation, 42 patients with dorsal plating fixation, 152 patients with volar plating fixation, and 124 patients with dorsal and volar plating fixation). Our network meta-analysis results demonstrated no significant differences in CTS risk among the 7 treatments (P>0.05). The value of surface under the cumulative ranking curve (SUCRA), however, suggested that dorsal plating fixation is the optimal treatment, with the lowest risk of CTS in DRF patients (dorsal plating fixation: 89.2%; dorsal and volar plating: 57.8%; plaster fixation: 50.9%; non-BrEF: 50.6%; volar plating fixation: 39.6%; BrEF: 38.4%; K-wire fixation: 23.6%). CONCLUSIONS Our network meta-analysis provides evidence that dorsal plating fixation significantly decreases the risk of CTS and could be the method of choice in DRF patients.
authors.affiliation: Department of Orthopedics, Linyi People's Hospital, Linyi, Shandong, China (mainland).
authors.forename: Huan-Li
authors.initials: HL
authors.lastname: Zhao
authors.affiliation: Department of Radiology, Linyi People's Hospital, Linyi, Shandong, China (mainland).
authors.forename: Gui-Bin
authors.initials: GB
authors.lastname: Wang
authors.affiliation: Department of Traumatic Orthopedics, Linyi People's Hospital, Linyi, Shandong, China (mainland).
authors.forename: Yue-Qing
authors.initials: YQ
authors.lastname: Jia
authors.affiliation: Department of Radiology, Linyi People's Hospital, Linyi, Shandong, China (mainland).
authors.forename: Shi-Cai
authors.initials: SC
authors.lastname: Zhu
authors.affiliation: Department of Radiology, Linyi Hospital of Traditional Chinese Medicine, Linyi, Shandong, China (mainland).
authors.forename: Feng-Fang
authors.initials: FF
authors.lastname: Zhang
authors.affiliation: Department of Surgery, Linyi People's Hospital, Linyi, Shandong, China (mainland).
authors.forename: Hong-Mei
authors.initials: HM
authors.lastname: Liu
mesh_terms: D002349:Carpal Tunnel Syndrome / Q000209:etiology*; D016208:Databases, Factual; D005592:Fracture Fixation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D011885:Radius Fractures / Q000601:surgery*; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome