ArticleOrthopaedic surgery2026
Surgical Versus Conservative Treatment for Intra-Articular Distal Radius Fractures With Loss of Reduction in Elderly Patients.
Article in Orthopaedic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe optimal treatment strategy for intra-articular distal radius fractures with loss of reduction in elderly patients remains unclear, particularly in AO/OTA 23-C1 and C2 fracture types. This study aimed to compare the clinical and radiological outcomes of surgical versus conservative treatment in elderly patients who developed secondary displacement after initial reduction.
methodsIn this retrospective multicenter study, 127 patients aged ≥ 65 years with AO/OTA 23-C1/C2 distal radius fractures and secondary displacement during follow-up were analyzed. Patients were managed either with continued conservative treatment (n = 78) or delayed surgical intervention (n = 49). Radiological parameters (volar tilt, radial inclination, ulnar variance, and articular step-off) and functional outcomes were evaluated at 3 and 12 months using the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score and the Patient-Rated Wrist Evaluation (PRWE). Grip strength was assessed bilaterally at the 12-month follow-up. Independent predictors of conversion to surgical treatment were identified using multivariate logistic regression analysis.
resultsAt the 3-month follow-up, the surgical group demonstrated significantly better radiological alignment and lower QuickDASH and PRWE scores compared with the conservative group (p < 0.01). Grip strength on the injured side was similar between groups; however, relative strength loss compared with the uninjured side was significantly lower in the surgical group (p = 0.001). At 12 months, no significant differences were observed between groups in either radiological or functional outcomes. Implant-related irritation was more frequent in the surgical group (p = 0.01), whereas malunion occurred more commonly in the conservative group (p = 0.047). Independent predictors of surgical intervention included AO/OTA 23-C2 fracture type (OR: 2.677; p = 0.023) and progressive deterioration in alignment during follow-up (OR: 15.1; p = 0.001).
conclusionSurgical treatment provided superior short-term radiological and functional outcomes in elderly patients with distal radius fractures complicated by loss of reduction; however, long-term outcomes were comparable between treatment strategies. Treatment decisions should be individualized, taking into account fracture pattern, alignment stability during follow-up, and patient-specific factors.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.