Literature DB >> 23205354

Distal radius fractures: does a radiologically acceptable reduction really change the result?

Niraj Ranjeet1, Emmanuel P Estrella.   

Abstract

INTRODUCTION: Distal radius fractures are common fractures which are treated by orthopaedic surgeons. However, they are complex injuries with a variable prognosis and if they are not treated optimally, they can be associated with various complications. METHODS AND MATERIALS: We studied 80 cases of closed distal radius fractures. These patients were treated and their X-rays were evaluated to determine whether the reduction was radiologically acceptable or not. These patients were then followed up at 1.5 and 3 months to evaluate them both radiologically as well as functionally by using the Modified Mayo Scoring System and the Gartland and Werley's Functional Scoring System.
RESULTS: In our study, 68 patients had an acceptable reduction and 12 patients had an unacceptable reduction. All the fractures healed by the end of the study. The radiological parameters improved from the pre-operative to the immediate post-operative X-ray and all the parameters remained the same till 3 months of follow up. The grip strength improved during the 1.5 to the 3 months follow up. We observed that the trend of the final X-ray score correlated with the pre-treatment X-ray score: however, the functional outcome did not correlate with the X-ray scores.
CONCLUSION: We could not find any correlation between an acceptable reduction to a better functional outcome according to the G and W and the MM scores. We believe that a longer follow up will give us the true functional outcome of these patients and thus a true picture of the correlation between them.

Entities:  

Keywords:  Closed; Distal radius fractures; Radiologically acceptable

Year:  2012        PMID: 23205354      PMCID: PMC3471509          DOI: 10.7860/JCDR/2012/4567.2366

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  24 in total

1.  Outcome of distal radial fractures in young adults.

Authors:  J D Gliatis; S J Plessas; T R Davis
Journal:  J Hand Surg Br       Date:  2000-12

2.  Assessment of complications of distal radius fractures and development of a complication checklist.

Authors:  S D McKay; J C MacDermid; J H Roth; R S Richards
Journal:  J Hand Surg Am       Date:  2001-09       Impact factor: 2.230

3.  Self-reported disability following distal radius fractures: the influence of hand dominance.

Authors:  P E Beaulé; G F Dervin; A A Giachino; K Rody; J Grabowski; A Fazekas
Journal:  J Hand Surg Am       Date:  2000-05       Impact factor: 2.230

4.  Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture.

Authors:  J C MacDermid; R S Richards; A Donner; N Bellamy; J H Roth
Journal:  J Hand Surg Am       Date:  2000-03       Impact factor: 2.230

5.  Colles' fractures. Functional bracing in supination.

Authors:  A Sarmiento; G W Pratt; N C Berry; W F Sinclair
Journal:  J Bone Joint Surg Am       Date:  1975-04       Impact factor: 5.284

6.  Functional outcome and complications following two types of dorsal plating for unstable fractures of the distal part of the radius.

Authors:  Tamara D Rozental; Pedro K Beredjiklian; David J Bozentka
Journal:  J Bone Joint Surg Am       Date:  2003-10       Impact factor: 5.284

7.  Association between objective clinical variables and patient-rated disability of the wrist.

Authors:  I A Karnezis; E G Fragkiadakis
Journal:  J Bone Joint Surg Br       Date:  2002-09

8.  Long-term prognosis of displaced Colles' fracture: a 10-year prospective review.

Authors:  J Field; D Warwick; G C Bannister; A G Gibson
Journal:  Injury       Date:  1992       Impact factor: 2.586

9.  Patient versus injury factors as predictors of pain and disability six months after a distal radius fracture.

Authors:  Joy C MacDermid; A Donner; Robert S Richards; James H Roth
Journal:  J Clin Epidemiol       Date:  2002-09       Impact factor: 6.437

10.  Pain and disability reported in the year following a distal radius fracture: a cohort study.

Authors:  Joy C MacDermid; James H Roth; Robert S Richards
Journal:  BMC Musculoskelet Disord       Date:  2003-10-31       Impact factor: 2.362

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  2 in total

1.  Evaluating the Impact of Social Deprivation on Mid-Term Outcomes Following Distal Radius Open Reduction Internal Fixation.

Authors:  Michelle Zeidan; Andrew R Stephens; Chong Zhang; Angela P Presson; Nikolas H Kazmers
Journal:  J Hand Surg Glob Online       Date:  2021-07-03

2.  Patient-reported outcomes after a distal radius fracture in adults: a 3-4 years follow-up.

Authors:  Roderick H van Leerdam; Floortje Huizing; Frank Termaat; Sanne Kleinveld; Steven J Rhemrev; Pieta Krijnen; Inger B Schipper
Journal:  Acta Orthop       Date:  2019-01-23       Impact factor: 3.717

  2 in total

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