Predictors of Functional Outcomes After Surgical Treatment of Distal Radius Fractures

Chung, Kevin C.; Kotsis, Sandra V.; Kim, H. Myra

doi:10.1016/j.jhsa.2006.10.010

Cited by 169 publications

(152 citation statements)

References 54 publications

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“…The Disabilities of the Arm, Shoulder and Hand Score was not measured, nor was psychological status, illness behaviour, socioeconomic status, or injury compensation; all of which have been shown to affect outcome. 10,31,32 Fractures with articular displacement occur in <5% of distal radius fractures, 33 but in our study, only extraarticular fractures or undisplaced fractures were included.…”

Section: Discussionmentioning

confidence: 98%

Factors Associated with One-Year Outcome after Distal Radial Fracture Treatment

Cowie

Anakwe

McQueen³

2015

J Orthop Surg (Hong Kong)

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Purpose. To identify factors that affect functional outcome one year after distal radial fracture treatment. Methods. 521 women and 121 men aged 16 to 92 (mean, 59) years with distal radial fractures underwent external fixation (n=123), open reduction and internal fixation (n=63), a combination of both (n=10), distal radial osteotomy for symptomatic malunion (n=90), or casting with (n=194) or without (n=162) prior closed manipulation under regional anaesthesia. The indication for surgery (rather than casting) was metaphyseal instability. Radiographic evaluation (dorsal angulation, radial shortening, carpal malalignment, and malunion) was made before and after treatment and after fracture healing. Functional evaluation (range of movement, grip strength, and activities of daily living) was made at a mean of 16 (range, 6-54) months after injury. Results. After multiple regression analysis, poorer functional score was associated with increasing age (p<0.001), dorsal angulation after healing (p<0.016),

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Section: Discussionmentioning

confidence: 98%

Factors Associated with One-Year Outcome after Distal Radial Fracture Treatment

Cowie

Anakwe

McQueen³

2015

J Orthop Surg (Hong Kong)

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“…Function was assessed using the 'Disability of the Arm, Shoulder, and Hand' (DASH) symptom score, range of motion, and grip strength. Demographic information and pre-injury DASH responses were obtained by interviewing the patient and questioning them on their pre-injury status, and the outcome measures described were obtained at standard follow-up intervals (3,6, and 12 months). Range of motion was recorded after measurement with a goniometer.…”

Section: Methodsmentioning

confidence: 99%

The Association of Education Level on Outcome after Distal Radius Fracture

Paksima

Pahk

Romo³

et al. 2013

Hand (New York, N,Y.)

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Background Socioeconomic factors have been found to be predictors of outcome for other ailments. The purpose of this study was to evaluate the association of patient education level on pain and disability after distal radius fracture. Methods A series of patients with distal radius fractures (n = 335) were enrolled into a prospective research registry. Standard demographic information was obtained from patients, including a five-value categorical education variable. After treatment with closed reduction, external fixation, or internal fixation patients were evaluated for pain, function (Disability of the Arm, Shoulder, and Hand score [DASH]), range of motion (ROM), and grip strength at standard intervals until 12 months post-injury. A series of linear mixed effects models were developed to evaluate the relationship between time from injury and education level with each of the outcomes measured. Results Complete demographic and 12-month follow-up data were available on 227 patients (75 %). There were neither group differences in mode of injury, severity, nor treatment modality after stratification by education level. Mixed effects model analyses revealed a significant linear association between level of education and measured outcomes at each follow-up point. Overall, each increase in education level demonstrated a doubling of improvement in pain, ROM, grip strength, and DASH score. Conclusions Outcome of distal radius fracture depends on acute care and follow-up rehabilitation; however, patientrelated factors indicative of socioeconomic status are becoming increasingly relevant as predictors of outcome and should be considered by the orthopaedist.

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“…Another biomechanical study demonstrated that the difference in deviation of the fracture, comparing percutaneous pinning with volar plates, was only 1.5 mm (26) . Thus, even if there is a slight loss of reduction, thus leading to a reduction that is not exactly anatomical, this reduction will not have a direct implication regarding good results from long-term follow-up, or a high DASH value (27,28) . We believe that the complication rate among our patients, is in accordance with other authors (29) .…”

Section: Discussionmentioning

confidence: 99%

Resultados funcionais e radiológicos a longo prazo da fixação percutânea das fraturas da extremidade distal do rádio

Júnior¹,

Bufáiçal²,

Freitas³

et al. 2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTObjective: To evaluate, functionally and radiologically, the long term outcomes of the management of distal radius fracture treated by closed reduction and percutaneous pinning fixation. Methods: From 84 patients submitted to percutaneous fixation of the distal radius fracture, we evaluated 34, with a medium follow-up of 85.7 months (from 18 to 168 months). Of the 34 patients, 23 were women, and the ages ranged from 28 to 88 years (median 65 years). We analyzed the range of movement, strength, pain and the results of the DASH questionnaire. Radiological evaluation was also carried out, to evaluate healing time and angles of the distal radius. Results: The fractures healed in an average of 41 days. The mean values for wrist flexion, extension, radioulnar deviation, pronation and supination were within the functional parameters for ROM of the wrist. Most of the patients (76.5%) presented no pain during the examination, and 23 patients presented a DASH value of zero. There was one case of loss of reduction, which was re-operated two weeks after the initial surgery, and one patient developed a sympathetic dystrophy associated with a distal radioulnar joint disturbance. Conclusion: Percutaneous pinning fixation for distal radius fracture results in a long term follow-up with excellent range of movement, little or no pain, acceptable radiographic parameters, and low complication rate, and is an efficient and low cost method.

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Predictors of Functional Outcomes After Surgical Treatment of Distal Radius Fractures

Cited by 169 publications

References 54 publications

Factors Associated with One-Year Outcome after Distal Radial Fracture Treatment

Factors Associated with One-Year Outcome after Distal Radial Fracture Treatment

The Association of Education Level on Outcome after Distal Radius Fracture

Resultados funcionais e radiológicos a longo prazo da fixação percutânea das fraturas da extremidade distal do rádio

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