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. 2008 Apr 23;2008(2):CD006836. doi: 10.1002/14651858.CD006836.pub2

Comparison 1. Bone scaffolding (graft/substitute) versus plaster cast.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Functional gradings 2   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
1.1 Not excellent 2   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.2 Fair or poor 2   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
2 Non recovery of full grip strength 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
3 Mass grip strength (% of normal side) 3   Mean Difference (IV, Fixed, 95% CI) Totals not selected
3.1 Bone graft 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
3.2 Norian SRS 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
3.3 Methylmethacrylate cement 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Pain at 6 months (VAS: 0 (none) to 100 mm (unbearable)) 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
5 Long term pain 2   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
5.1 Pain during lifting or carrying 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5.2 Radiocarpal pain 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5.3 Radio‐ulnar pain 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Non‐recovery of full range of movement 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
6.1 Flexion 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.2 Extension 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.3 Pronation 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.4 Supination 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
7 Range of movement (% of normal side) 2   Mean Difference (IV, Fixed, 95% CI) Totals not selected
7.1 Flexion 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.2 Extension 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.3 Radial deviation 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.4 Ulnar deviation 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.5 Pronation 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.6 Supination 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.7 Flexion/extension 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.8 Overall range of movement 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Complications 4   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 Recurrent instability 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.19 [0.06, 0.58]
8.2 Redisplacement resulting in secondary treatment 1 110 Risk Ratio (M‐H, Fixed, 95% CI) 0.01 [0.00, 0.21]
8.3 Pin track or K‐wire infection 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.13, 70.83]
8.4 Wound infection 2 170 Risk Ratio (M‐H, Fixed, 95% CI) 5.0 [0.25, 99.95]
8.5 Tendon rupture 3 188 Risk Ratio (M‐H, Fixed, 95% CI) 2.33 [0.35, 15.44]
8.6 Carpal tunnel syndrome/median nerve compression 3 188 Risk Ratio (M‐H, Fixed, 95% CI) 0.73 [0.22, 2.38]
8.7 Nerve palsy 1 47 Risk Ratio (M‐H, Fixed, 95% CI) 2.88 [0.12, 67.29]
8.8 "Dorsal medial neuropraxia" 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.13, 70.83]
8.9 "Irritation of the distal branch of the radial nerve" 1 18 Risk Ratio (M‐H, Fixed, 95% CI) 0.24 [0.01, 4.47]
8.10 Reflex sympathetic dystrophy 2 170 Risk Ratio (M‐H, Fixed, 95% CI) 0.8 [0.22, 2.87]
8.11 Refracture 1 110 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.12, 72.08]
8.12 Intra‐articular deposit of bone cement (surgically removed) 1 110 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.12, 72.08]
8.13 Post‐operative pain: due to extrusion of bone cement into soft‐tissues? 1 18 Risk Ratio (M‐H, Fixed, 95% CI) 8.56 [0.51, 144.86]
8.14 Persistent soft‐tissue deposit of bone cement 1 110 Risk Ratio (M‐H, Fixed, 95% CI) 37.0 [2.29, 599.09]
9 Anatomical displacement 2   Mean Difference (IV, Fixed, 95% CI) Totals not selected
9.1 Loss in radial length (radial shortening) (mm) 2   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Anatomical measurements 2   Mean Difference (IV, Fixed, 95% CI) Totals not selected
10.1 Dorsal angulation (degrees) 2   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
11 Deformity (cosmetic and structural) 4   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
11.1 Carpal collapse 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.79 [0.43, 1.44]
11.2 Malunion 2 170 Risk Ratio (M‐H, Fixed, 95% CI) 0.47 [0.30, 0.71]
11.3 Dissatisfaction with wrist appearance 1 47 Risk Ratio (M‐H, Fixed, 95% CI) 0.03 [0.00, 0.49]
11.4 Radial osteotomy performed: painful deformed wrist 1 18 Risk Ratio (M‐H, Fixed, 95% CI) 0.41 [0.02, 8.84]