Efficacy of cast immobilization versus surgical treatment for distal radius fractures in adults: a systematic review and meta-analysis
Pooled result · DASH scoreResult — go to the resultMD - 2.55 95% CI - 5.02 to - 0.09Authors' conclusion
At 1-year follow-up, the lower DASH scores of the cast group showed advantages of this treatment, but the complication rate was higher than that of the surgery group. There was no massive distinction in other scoring methods.
Study context
- Population
- Adults with distal radius fractures (DRFs); Randomized controlled trials (RCTs) from 2005 to March 2022
- Participants
- 1,775 adults11 studies
- Comparison
- Closed reduction and cast immobilization vs surgery for DRFs
- Outcome
- Functional outcomes
Pooled result
DASH score · 1-year follow-up
MD
- 2.55
95% CI - 5.02 to - 0.09
P = 0.04
As reported in the abstract
Further pooled results
- No massive distinction in other scoring methods
Safety
| Outcome | MD (95% CI) | P value | |
|---|---|---|---|
| Complication rate | 1.63 (1.08–2.45) | P = 0.02 | |
| −10123Difference (linear scale) |
Original publication
Efficacy of cast immobilization versus surgical treatment for distal radius fractures in adults: a systematic review and meta-analysis. Osteoporos Int. Published 20 December 2022. doi:10.
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