Operative Versus Nonoperative Treatment For Distal Radius Fractures:A Systematic Review And Meta-Analysis

Objective:To compare operation and non-operation treatment of the distal radius fracture by A Systematic Review and Meta-Analysis.Methods:The literature, published in online MEDLINE and china national knowledge infrastructure in English or Chinese from1990-2013which compare between operation and non-operation treatment of the distal radius fracture were collected. To deal with the data by Meta-analysis, comparing with ranges of motion, grip strength, and Green and O’Brien score Radiographic results (dorsal tilt, radial inclination,and radial shortening).Results:five literatures involving370cases were included.operative Treatment group was180and Nonoperative Treatment190cases, there was no significant difference between the2groups for ranges of motion, grip strength, and Green and O’Brien score. There was a significant difference between the2groups for Radiographic results, Dorsal angulation is better in operative Treatment group than Nonoperative Treatment group Radial inclination and Radial length is better in Nonoperative Treatment group.Conclusion:At final follow-up, there was no significant difference between the2groups for ranges of motion, grip strength, and Green and O’Brien score. At final follow-up, there was a significant difference between the2groups for dorsal tilt, radial inclination,and radial length.