Table 2.
Group | Rank | Intervention | Mean difference (95% CI) | Quality of evidence |
All patients | 1 | Volar locking plate | -7.3 (-11 to -3.7)a | Moderateb |
2 | Intramedullary fixation | -7.8 (-14.6 to -0.56)a | Very lowb,c | |
Intraarticular | 1 | Bridging external fixation | -14 (-32 to 4.8) | Very lowc,d |
2 | Fragment-specific plating | -11 (-25 to 2.0) | Lowc | |
3 | Volar locking plate | -8.4 (-15 to -2.0)a | Moderatee | |
Extraarticular | 1 | Volar locking plate | -4.6 (-10 to 1.4) | Lowd,f |
2 | Nonbridging external fixation | -6.0 (-15 to 3.1) | Very lowc,e | |
Average age older than 60 years | 1 | Volar locking plate | -6.4 (-11 to -2.1)a | Moderateb |
2 | Percutaneous pinning | -7.3 (-22 to 7.1) | Very lowb,c,e |
Inferred to be statistically significant with a 95% CI for mean difference not crossing zero.
Downgraded for indirectness.
Downgraded two levels for imprecision.
Downgraded for risk of bias.
Downgraded for inconsistency.
Downgraded for imprecision.
Mean differences are relative to nonoperative treatment; rank based on SUCRA value; small sample size was considered in the evaluation of imprecision; MCID for DASH is 10 points; GRADE = Grading of Recommendations Assessment, Development and Evaluation.