Long-term follow-up of distal radius fractures, an evaluation of the current guideline: the relation between malunion, osteoarthritis and functional outcome

Visser, Daniel; Mathijssen, Nina M C; Outeren, M. V. van; Colaris, Joost W.; Vries, Mark R. de; Kraan, Gerald

doi:10.1007/s00590-020-02700-8

Cited by 6 publications

(7 citation statements)

References 17 publications

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“…Five retrospective studies (total n ¼ 517 patients) found no correlation between malunion and PROMs (Catalano et al, 1997;Forward et al, 2008;Goldfarb et al, 2006;Hevonkorpi et al, 2021;Visser et al, 2020). One well-conducted prospective study with a long-term follow-up (63 patients) reported an association between PROMs and malunion (Ali et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have reported an association between malunion and osteoarthritis although no correlation between osteoarthritis and PROMs was demonstrated ( Catalano et al., 1997 ; Forward et al., 2008 ; Goldfarb et al., 2006 ; Visser et al., 2020 ). This study found no correlations between radiographic measures, osteoarthritis or PROMs.…”

Section: Discussionmentioning

confidence: 99%

“…Distal radius fractures (DRFs) are the most common fractures in adults ( Nellans et al., 2012 ; van Staa et al., 2001 ), and their short-term outcomes are well reported ( Mulders et al., 2018 ). Few studies, however, have examined the long-term effects of the association between malunion, radiocarpal osteoarthritis and functional outcomes ( Ali et al., 2018 ; Visser et al., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Radiological alignment ( Ali et al., 2018 ; Raudasoja et al., 2018 ) and pain catastrophization ( Hevonkorpi et al., 2021 ) have been proposed to affect long-term results. However, there is no evidence linking age ( Raudasoja et al., 2018 ), pseudoarthrosis of the ulnar styloid ( Ali et al., 2018 ), osteoarthritis, ( Ali et al., 2018 ; Visser et al., 2020 ) or treatment method (percutaneous wires vs. plate and operative vs. non-operative) to the long-term outcome of DRFs ( Costa et al., 2019 ; Hevonkorpi et al., 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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Functional outcomes are restored a decade after a distal radius fracture: a prospective long-term follow-up study

Schmidt,

Gordon,

Petterson

et al. 2023

J Hand Surg Eur Vol

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We performed an 11–13-year prospective follow-up of patients after a distal radial fracture (DRF) to investigate the association between fracture malunion, radiocarpal osteoarthritis and clinical outcome. In total, 292 patients responded to patient-reported outcome measures; of them, 242 underwent clinical examination. Clinical outcomes improved with time. A decade after fracture, median Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score was 5, EuroQol Five-dimensions score was 1.0, and range of motion and grip strength were 96% of the contralateral side. Neither osteoarthritis (6%) nor pseudoarthrosis of the ulnar styloid (30%) affected the outcomes. Dorsal tilt, radial inclination, ulnar variance and intra-articular extension did not affect long-term clinical outcomes or the risk of osteoarthritis. Recovery after a DRF is an ongoing process that lasts years. A decade after the injury event, range of motion, grip strength and QuickDASH were recovered to population normal, regardless of radiological outcomes. Level of evidence: II

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Functional outcomes are restored a decade after a distal radius fracture: a prospective long-term follow-up study

Schmidt,

Gordon,

Petterson

et al. 2023

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…The estimated incidence ranges between 150–289/100 000 person-years globally [ 1 – 5 ], with the incidence rate being higher in the Nordic countries than in other European regions [ 6 ]. In the long term in most patients treated adequately for a DRF regain function [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Validity of distal radius fracture diagnoses in the Swedish National Patient Register

Südow,

Sjödin,

Mellstrand Navarro

2023

Eur J Med Res

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Distal radius fractures are one of the most common fractures in adults. More research is needed to establish evidence-based clinical practice guidelines to generate cost-effective and fair fracture treatment. The Swedish National Patient Register is a principal source for population-based epidemiologic studies in Sweden. The validity of some–but not all–diagnoses in the register is high. Little is known regarding the validity of registration of distal radius fractures.A dataset of cases registered with diagnosis of distal radius fracture (S52.5) or distal radius and ulna fracture (S52.6) were collected from the Swedish National Inpatient and Outpatient Registers. Six cohorts, each containing 240 simple random samples, were constructed. Radiographic reports and medical records were reviewed to confirm or reject the diagnosis as well as, in relevant cases, the surgical intervention. Positive predictive values (PPV) were calculated.The PPV for distal radius fracture in the register ranges between 92 and 100%, lower if coded as S52.6 and higher if there was an adherent code of surgical intervention. Codes for surgical intervention reached a PPV of 95–100%.In conclusion, the validity of the codes for diagnosis and the surgical treatment of distal radius fracture is high in the Swedish National Patient Register. According to our results, the register may be used as a reliable data source for population-based research of distal radius fractures.

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Clinical and Radiographic Outcomes of Gap Osteotomy Versus Dorsal Opening Wedge Osteotomy for Extra-Articular Distal Radius Malunion and Internal Fixation Using a Volar Locking Plate Without Bone Graft

Sondur,

Bhat,

Bhat N

2024

Journal of Hand Surgery Global Online

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Long-term follow-up of distal radius fractures, an evaluation of the current guideline: the relation between malunion, osteoarthritis and functional outcome

Cited by 6 publications

References 17 publications

Functional outcomes are restored a decade after a distal radius fracture: a prospective long-term follow-up study

Functional outcomes are restored a decade after a distal radius fracture: a prospective long-term follow-up study

Validity of distal radius fracture diagnoses in the Swedish National Patient Register

Clinical and Radiographic Outcomes of Gap Osteotomy Versus Dorsal Opening Wedge Osteotomy for Extra-Articular Distal Radius Malunion and Internal Fixation Using a Volar Locking Plate Without Bone Graft

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