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

Comparison 5. Bone scaffolding (graft/substitute) versus external fixation.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Functional gradings 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
1.1 Not excellent 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
1.2 Fair or poor 1   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) 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
4 Persistent pain (during carrying or lifting) 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
4.1 At 2 months 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.2 At 3 months 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.3 At 6 months 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.4 At 12 months 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Non‐recovery of full range of movement 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
5.1 Flexion 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5.2 Extension 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5.3 Pronation 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5.4 Supination 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Range of movement (% of normal side) 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
6.1 Flexion/extension 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
6.2 Overall range of movement 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7 Complications 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
7.1 Recurrent instability 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.21 [0.07, 0.67]
7.2 Pin loosening / pin track infection requiring early fixator removal 2 138 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.04, 2.35]
7.3 Pin track or K‐wire infection 3 178 Risk Ratio (M‐H, Fixed, 95% CI) 0.18 [0.04, 0.77]
7.4 Scar adhesion to bone requiring surgical treatment 1 48 Risk Ratio (M‐H, Fixed, 95% CI) 0.36 [0.02, 8.45]
7.5 Skin adhesions 1 40 Risk Ratio (M‐H, Fixed, 95% CI) 0.14 [0.01, 2.60]
7.6 Uncomfortable / painful fixator 1 48 Risk Ratio (M‐H, Fixed, 95% CI) 0.04 [0.00, 0.64]
7.7 Wound infection 1 90 Risk Ratio (M‐H, Fixed, 95% CI) 9.84 [0.49, 198.69]
7.8 Tendon rupture 2 130 Risk Ratio (M‐H, Fixed, 95% CI) 4.17 [0.46, 37.67]
7.9 Carpal tunnel syndrome 2 130 Risk Ratio (M‐H, Fixed, 95% CI) 2.47 [0.60, 10.13]
7.10 "Dorsal medial neuropraxia" 1 90 Risk Ratio (M‐H, Fixed, 95% CI) 2.0 [0.13, 30.88]
7.11 Reflex sympathetic dystrophy 1 90 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.04, 2.22]
7.12 Swollen wrist 1 40 Risk Ratio (M‐H, Fixed, 95% CI) 0.11 [0.01, 1.94]
7.13 Persistent finger stiffness 2 88 Risk Ratio (M‐H, Fixed, 95% CI) 0.26 [0.03, 2.21]
8 Anatomical displacement 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.1 Loss in radial length (radial shortening) (mm) 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
9 Anatomical measurements 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
9.1 Dorsal angulation (degrees) 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Long term redisplacement 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
10.1 Increase in dorsal angulation > 5 degrees at last follow up 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.2 Radial shortening by 1 mm at last follow up 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
11 Deformity (cosmetic and structural) 2   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
11.1 Carpal collapse 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
11.2 Malunion 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
11.3 Dissatisfaction with wrist appearance for more than 3 months 1   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]