{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T22:48:25Z","timestamp":1788648505746,"version":"build-2803163510"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003A systematic review and meta-analysis of randomized controlled trials was conducted to compare surgical treatment using open reduction and internal fixation (ORIF) with volar locking plates (VLP) to conservative treatment with closed reduction and immobilization in elderly patients aged \u226560 years with acute displaced distal radius fractures.<\/jats:p><jats:p>\n          Methods\u2003A search of the MEDLINE, Scopus, and Central Register of Controlled Trials (CENTRAL) databases was conducted. Clinical and radiographic measures at 12 months were compared between groups by pooling the mean difference. The complication rates were compared by pooling relative risk ratios. Pooled mean differences of Disabilities of the Arm, Shoulder, and Hand (DASH) and Patient-Rated Wrist Evaluation (PRWE) results were compared with the published minimal clinically important difference (MCID) to evaluate the clinical relevance of the results.<\/jats:p><jats:p>\n          Results\u2003The initial search yielded 766 records, from which 6 articles were selected for the final analysis. The results of the DASH questionnaire at 12 months of follow-up were significantly lower in the surgical treatment group with a mean difference (MD) of \u20133.61 points (95% confidence interval [CI]: \u20136.48 to \u20130.73). No statistically significant difference was found in the PRWE questionnaire (MD\u2009=\u2009\u20133.14 points [95% CI: \u20137.32 to 1.04]). Radiological results were significantly better in the surgical treatment group and no significant difference in the overall complication rate between the groups was detected. Found MD for DASH and PRWE did not reach the published MCIDs.<\/jats:p><jats:p>\n          Conclusion\u2003This study suggests that for elderly patients aged \u226560 years with acute displaced distal radius fractures, surgical treatment using ORIF with VLP does not provide clinically relevant benefits compared with conservative treatment with closed reduction and immobilization at the 12-month follow-up, despite demonstrating better radiological results.<\/jats:p>","DOI":"10.1055\/s-0043-1774331","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:25:58Z","timestamp":1699403158000},"page":"559-571","source":"Crossref","is-referenced-by-count":6,"title":["Volar Locking Plate versus Closed Reduction and Immobilization for Distal Radius Fracture in the Elderly: Systematic Review and Meta-Analysis of Randomized Controlled Trials"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6309-7119","authenticated-orcid":false,"given":"Niyaz","family":"Latypov","sequence":"additional","affiliation":[{"name":"Federal State Budgetary Institution of the Ministry of Health of the Russian Federation National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov, Moscow, Russian Federation"},{"name":"\u201cPrivate clinic Almaty\u201d, Almaty, Kazakhstan"},{"name":"City clinical hospital \u21164, Almaty, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1291-5094","authenticated-orcid":false,"given":"Igor","family":"Golubev","sequence":"additional","affiliation":[{"name":"Federal State Budgetary Institution of the Ministry of Health of the Russian Federation National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov, Moscow, Russian Federation"},{"name":"European Medical Center, European Clinic of Sports Traumatology and Orthopedics (ECSTO), Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4729-0992","authenticated-orcid":false,"given":"Alyona","family":"Borisova","sequence":"additional","affiliation":[{"name":"RUDN University, Medical Institute, Department of Normal Physiology, Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.hcl.2012.02.001","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"K W Nellans","year":"2012","journal-title":"Hand Clin"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1186\/s12891-017-1596-z","article-title":"Epidemiology and time trends of 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A statistical learning model","volume":"479","author":"A P Yoon","year":"2021","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref36","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1007\/s00776-014-0560-0","article-title":"Outcomes and complications of fractures of distal radius (AO type B and C): volar plating versus nonoperative treatment","volume":"19","author":"H Sharma","year":"2014","journal-title":"J Orthop Sci"},{"issue":"02","key":"ref37","first-page":"66","article-title":"Surgical versus conservative management of distal radius fracture with coronal shift; a randomized controlled trial","volume":"12","author":"M Dehghani","year":"2022","journal-title":"Int J Burns Trauma"},{"issue":"01","key":"ref38","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1186\/s12891-022-05394-7","article-title":"Non-operative treatment or volar locking plate fixation for dorsally displaced distal radius fractures in patients over 70\u2009years: a three year follow-up of a randomized controlled trial","volume":"23","author":"H S\u00fcdow","year":"2022","journal-title":"BMC Musculoskelet Disord"},{"issue":"03","key":"ref39","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1001\/jamasurg.2020.5673","article-title":"A prospective randomized study with no clinically important differences in closed vs open treatment for distal radius fracture in elderly individuals","volume":"156","author":"E G Deune","year":"2021","journal-title":"JAMA Surg"},{"issue":"19","key":"ref40","first-page":"e1471","article-title":"More evidence that volar locked plating for distal radial fractures does not offer a functional advantage over traditional treatment options","volume":"95","author":"C S Day","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"S 01","key":"ref41","doi-asserted-by":"crossref","first-page":"S83","DOI":"10.1007\/s40520-013-0075-0","article-title":"Surgical versus conservative treatment of distal radius fractures in elderly","volume":"25","author":"C Trevisan","year":"2013","journal-title":"Aging Clin Exp Res"},{"issue":"04","key":"ref45","doi-asserted-by":"crossref","first-page":"e051658","DOI":"10.1136\/bmjopen-2021-051658","article-title":"Effectiveness and cost-effectiveness of surgery versus casting for elderly patients with Displaced intra-Articular type C distal Radius fractures: protocol of a randomised controlled Trial with economic evaluation (the DART study)","volume":"12","author":"D P Ter Meulen","year":"2022","journal-title":"BMJ Open"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1774331.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T23:40:13Z","timestamp":1732923613000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1774331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,7]]},"references-count":40,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2024,11,29]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1774331","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,7]]}}}