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Table 8 Provisional list of 18 top priority research areas from the list of patient management questions

From: From evidence to best practice in the management of fractures of the distal radius in adults: working towards a research agenda

No. Question (Numbering from project materials including the questionnaire) Pathway See 'Appendix 1 [see Additional file 1]' No. of high priority scores *
1 Q4 When is reduction (non surgical or surgical) required? Core: reduce? 11
2 Q5 Is immobilisation of the injured wrist for any duration necessary for undisplaced (or minimally displaced) fractures? Core: immobilise non-reduced fracture? 4†
3 Q7.7 How long should the wrist be immobilised (undisplaced / minimally displaced fractures)? Path 2: non-reduced, immobilised fractures 7
4 Q7.11 What rehabilitation interventions should be given at this stage (post immobilisation)? Path 2: non-reduced, immobilised fractures 7*
5 Q8 When is surgery indicated for definitive treatment (at start)? Core: surgery? 12
6 Q9.6 What is the preferred immediate treatment option if reduction is immediately unsuccessful? Core: closed reduction 5
7 Q13.2 What type of immobilisation is required for reduced initially displaced fractures? Path 3: reduced displaced fracture, conservative treatment 6
8 Q13.5 What rehabilitation interventions should be given at this stage (during immobilisation)? Path 3: reduced displaced fracture, conservative treatment 5*
9 Q13.7 How long should the wrist be immobilised for reduced fractures? Path 3: reduced displaced fracture, conservative treatment 6
10 Q13.11 What rehabilitation interventions should be given at this stage (post-immobilisation)? Path 3: reduced displaced fracture, conservative treatment 11*
11 Q14 What method(s) of surgery (could be a combination) are preferable for typical circumstances (fracture types)? Core: reduce fracture, surgical treatment 8
12 Q18.1 What method(s) of external fixation is / are preferable? Path 5: external fixation 5
13 Q19.1 What method(s) of internal fixation is / are preferable? Path 6 (incomplete): internal fixation 6
14 Q19.2 Is triangular ligament repair necessary (internal fixation)? Path 6 (incomplete): internal fixation 5
15 Q20.1 What materials for filling bony defects are acceptable? Path 7 (incomplete): bone scaffolding 7
16 Q21.3 When should (re-) reduction be done for re-displaced / secondarily displaced fractures? Core: significant loss of position 5
17 Q23.2 What are good (practical and effective) ways of (routinely) delivering rehabilitative interventions? Core: other rehabilitation 7*
18 Q23.4 What intervention(s) should be routinely provided aimed at secondary prevention? For example, should patients be screened for osteoporosis? Core: other rehabilitation 6*
  1. * Adjusted rating; † Exception made since 9 people also indicated that research would be worthwhile