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. 2020 May 25;102(14):1280–1288. doi: 10.2106/JBJS.19.01442

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.