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