Treatment of distal radius fractures in adults

Published by Main editor- and author: Hebe Désirée Kvernmo; Co-authors: Leiv M. Hove, Katrine Bjørnebek Frønsdal, Ingrid Harboe, Adalsteinn Odinsson, Yngvar Krukhaug on Aug 10, 2015

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In accordance with new international standards for reliable guidelines and "Guidance on evidence-based medical guidelines" issued by the Norwegian Directorate of Health's, clinical guidelines should include a systematic review of available documentation and a balanced assessment of the benefits and harms of existing treatment options. Clinical guidelines set a standard for assessment, treatment and follow-up of patients or diagnosis groups, and serve as an aid to healthcare personnel in the decision-making in their everyday clinical practice. Professional guidelines are instruments, which purpose is to prevent undesired variation in treatment quality between patients or patient groups.

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Norwegian Medical Association Norwegian Society for Surgery of the Hand Norwegian Orthopaedic Association

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Abstract

Language

en

PICOS

PICO 10.1

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Volar locking plates
Comparator
External fixation
Outcomes

PICO 10.2

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Volar locking plates
Comparator
Percutaneous pinning
Outcomes

PICO 20.1

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
External fixation
Comparator
External fixation with pinning of the fracture fragment
Outcomes

PICO 20.2

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Traditional percutaneous pinning
Comparator
Kapandji pinning
Outcomes

PICO 20.3

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Pinning with biodegradable pins
Comparator
Pinning with metal pins
Outcomes

PICO 20.4

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Operative treatment without bonegrafting or bonesubstitutes in addition to the osteosynthesis
Comparator
Operative treatment with bonegrafting or bonesubstitutes in addition to the osteosynthesis
Outcomes

PICO 30.1

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Operative stabilization of associated distal ulna fracture
Comparator
Non-operative stabilization of associated distal ulna fracture
Outcomes

PICO 40.1

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Percutaneous pinning
Comparator
Conservative treatment
Outcomes

PICO 40.2

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
External fixation
Comparator
Conservative treatment
Outcomes

PICO 40.3

Population
Adult patients > 65 years with unstable distal radius fractures
Intervention
Volar locking plates
Comparator
Conservative treatment
Outcomes

PICO 50.1

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Ordinary X-ray examination of the wrist
Comparator
CT scan of the wrist
Outcomes

PICO 60.1

Population
Adult patients with unstable distal radius fractures, irrespective of age
Intervention
Surgery performed < 48 hours after the indication for surgery has been made
Comparator
Surgery performed > 48 hours after the indication for surgery has been made
Outcomes

PICO 80.1

Population
Adult patients with unstable distal radius fractures, irrespective of age, treated with a volar locking plate
Intervention
Immobilization in cast or another stabilizing bandage in < 2 weeks
Comparator
Immobilization in cast or another stabilizing bandage in > 5 weeks
Outcomes

PICO 90.1

Population
Adult patients with unstable distal radius fractures, irrespective of age, treated with a volar locking plate
Intervention
Supervised training by occupational- or physiotherapist
Comparator
Home-exercise program after instruction by health personnel after cast removal
Outcomes

PICO 90.2

Population
Adult patients with unstable distal radius fractures, irrespective of age, treated conservatively (reduction and casting)
Intervention
Supervised training by occupational- or physiotherapist
Comparator
Home-exercise program after instruction by health personnel after cast removal
Outcomes