The problems with distal radial fractures: A roundtable discussion

Moderated by William B. Cooney III, MD

Dr. Cooney: What does the new evidence-based clinical practice guideline tell you and how will it affect or change your treatment of distal radius fractures?

Dr. Gelberman: It tells me that if you are looking for evidence on which to base management of distal radius fractures, you are not going to find many credible studies. Even procedures that we commonly perform aren’t supported by the evidence. This effort has informed us that much of our current treatment is based on experience, that we haven’t performed the rigorous clinical assessments necessary to confirm our management decisions. Although I believe we have some effective techniques for treating fractures of the distal radius, the current literature doesn’t support them with Level I or Level II evidence.

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