Cochrane · systematic review · CD006080

Percutaneous pinning for treating distal radial fractures in adults

Karantana, A, Handoll, HHG, Sabouni, A · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 6 · 85.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings: percutaneous pinning versus cast or brace immobilisation only

Population: adults with dorsally displaced distal radius fractures
7 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term patient‐reported hand/wrist/upper limb function. DASH scores (30 to 150; worst disability)At 1.5 months
Summary of findings: percutaneous pinning vs cast or brace immobilisation only
no estimate extracted1 study · 60 participantsVery low
Downgraded: risk of bias, imprecision
Medium‐term patient‐reported hand/wrist/upper limb function. DASH scores (30 to 150; worst disability)At 6 months
Summary of findings: percutaneous pinning vs cast or brace immobilisation only
no estimate extracted1 study · 60 participantsVery low
Downgraded: risk of bias, imprecision
Long‐term patient‐reported hand/wrist/upper limb function.Over 12 months
Summary of findings: percutaneous pinning vs cast or brace immobilisation only
no estimate extractedNRNo studies
Number of people incurring one or more complications requiring substantive treatment
Summary of findings: percutaneous pinning vs cast or brace immobilisation only
no estimate extracted9 studies · 799 participantsVery low
Downgraded: risk of bias, imprecision
Overall number of people incurring one or more complications
Summary of findings: percutaneous pinning vs cast or brace immobilisation only
no estimate extracted9 studies · 799 participantsVery low
Downgraded: risk of bias, imprecision
Grip strength At 12 months
Summary of findings: percutaneous pinning vs cast or brace immobilisation only
no estimate extracted4 studies · 238 participantsVery low
Downgraded: risk of bias, imprecision
Medium‐term quality of life measured via the Short Form 36 ‐ Physical score (0: worst to 100: best health) At 4 months
Summary of findings: percutaneous pinning vs cast or brace immobilisation only
no estimate extracted1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision