TABLE II.
Summary of Characteristics of Included Studies*
| Study | Study Design | LOE | Age for Inclusion (yr) | Inclusion Criteria | Definition of Acceptable Reduction | No. of Patients | No. of CRC Patients Who Required VLP | ITT Analysis | No. of Fractures: A2, A3 | No. of Fractures: C1, C2, C3 | Time to Last Radiographic Measurement (mo) | Last Follow-up† (mo) | |||
| VLP | CRC | VLP | CRC | VLP | CRC | ||||||||||
| Arora21 (2011) | RCT‡ | I | 65 | Independent living; available for follow-up; isolated injury; inadequate reduction or loss of reduction at 1-wk follow-up | <10° dorsal angulation; <3 mm radial shortening; <2 mm articular step-off | 36 | 37 | 0 | NA | 3, 7 | 3, 9 | 4, 12, 10 | 11, 8, 6 | 12 | 12 |
| Bartl17 (2014) | RCT | I | 65 | Unstable intra-articular fracture | Unclear | 86 | 88 | 37 | Y | 0, 0 | 0, 0 | 36, 35, 15 | 40, 35, 13 | 3 | 12 |
| Martinez-Mendez28 (2018) | RCT | I | 60 | Displaced complex intra-articular fracture, not open; history of stroke | >15° radial inclination, <15° dorsal angulation, <2 mm ulnar variance, <2 mm step-off | 50 | 47 | 0 | NA | 0, 0 | 0, 0 | 23, 23, 4 | 22, 20, 5 | 24 | 24 |
| Sirniö27 (2019) | RCT | I | 60‡ | Isolated displaced fracture, not open; initial visit within 1 wk of injury; acceptable initial reduction; no previous wrist/hand disorder limiting function | <10° dorsal angulation; >15° radial inclination; <2 mm ulnar variance | 23 | 29 | 12 | Y | 16§ | 18§ | 7§ | 11§ | 24 | 24 |
| Mulders14 (2019) | RCT | I | 60‡ | Isolated displaced extra-articular fracture, not open; no impairment of wrist prior to injury; sufficient mental capacity | >15° radial inclination; <15° dorsal angulation; <20° palmar angulation; <5 mm radial height loss | 21 | 22 | 0 | NA | 5, 16 | 3, 19 | 0, 0, 0 | 0, 0, 0 | 12 | 12 |
| Saving15 (2019) | RCT | I | 70# | >20° dorsal tilt; extra-articular fracture or intra-articular fracture with <1 mm step-off; isolated non-high-energy traumatic injury; no prior impairment of either wrist; no psychiatric disorders or substance abuse; independent in daily living; ASA class 1-3; initial visit within 6 days of injury | <20° dorsal angulation; <4 mm axial shortening | 58 | 64 | 0 | NA | 6, 33 | 10, 28 | 11, 7, 1 | 20, 6, 0 | 12 | 12 |
LOE = Level of Evidence, VLP = volar locking plate, CRC = closed reduction and casting, ITT = intent-to-treat, RCT = randomized controlled trial, NA = not applicable, and ASA = American Society of Anesthesiologists.
Last follow-up for all variables excluding radiographic measurements. Last follow-up was the same for VLP and CRC groups for each study.
Raw data set provided by authors; age cutoff of 60 was defined a priori.
Fracture type was provided as the total for type A and for type C.
Initially 75, but lowered at 1 institution halfway through the study due to limited enrollment.