A study of correlation between radiological and functional outcome of distal radius fracture treated by various modalities

  • Jati S Department of Orthopaedics, SAIMS and PGI, Indore, Madhya Pradesh, India
  • Goyal D Department of Orthopaedics, SAIMS and PGI, Indore, Madhya Pradesh, India
  • Awasthi D Department of Orthopaedics, SAIMS and PGI, Indore, Madhya Pradesh, India
DOI: https://doi.org/10.5281/zenodo.3970578
Keywords: Distal radius fractures, extra and intra-articular fractures, Functional outcome, Radiological outcome

Abstract

Background: Distal radius fractures are one of the most common injuries to the musculoskeletal system. Functional outcome in these fractures depend on many factors. Our main aim was to study if good radiological outcome has any effect on functional outcome and to compare various modalities of treatment of fracture distal end radius

Method: We retrospectively studied 120 patients. 30 cases were treated with conservative management & 30 cases with volar plating, percutaneous pinning and JESS fixator (Joshi’s External Stabilizing System).

Results: Most of the patients were between 40-60 years (Mean 50.35 years). Most common mode of injury was RTA (50.3%), Right side was predominantly affected (60.3%) and most common fracture type was AO type C1. Mean pain score & Function score Patient Rated Wrist Evaluation (PRWE) were less among patients where radiological parameters were restored.

Conclusion: From this study, we conclude that restoration of radiological parameters will help in good functional outcome in treatment of intra-articular and extra articular fractures of distal end of radius and volar plating has better results in radiological parameter restoration and functional outcome.

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References

Nijs S, Broos PLO. Fractures of the Distal Radius: A Contemporary Approach. Acta chir belg 2004;104:401-412.

Nelson DL. How to classify distal radial fractures - a report. eRADIUS International Distal Radius Fracture Study Group. Basic knowledge, IFSSH Bone and Joint Committee2008.

Macdermid JC. The Patient-Rated Wrist Evaluation (PRWE) User Manual. School of Rehabilitation Science2007: 6-7.

Fujii K, Henmi T, Kanematsu Y, et al. Fractures of the distal end of radius in elderly patients: A comparative study of anatomical and functional results. J Orthop 2002;10(1):9-15.

Saito H, Shibata M. Classification of fracture at the distal end of the radius with reference to treatment of comminuted fractures. In: Boswick JA, Lea and Febiger, Ed. Current Concepts in Hand Surgery 1983, 129–45.

Altissimi M, Antenucci R, Fiacca C, et al.Long-term results of conservative treatment of fractures of the distal radius. Clin Orthop Relat Res 1986;206:202-10.

Bassett-RL. Displaced intra-articular fractures of the distal radius. Clin Orthop Relat Res 1987;214:14852.

Jakim I, Pieterse HS, Sweet MB. External fixation for intra-articular fractures of the distal radius.J Bone Joint SurgBr 1991;73(2):302-6.

Porter, Martyn, Stockley. Fractures of the distal radius intermediate and end results in relation to radiologic parameters. Clinical Orthop & Relat Res 1987; 220:241–252.

Karnezis IA, Panagiotopoulos E, Tyllianakis M, Megas P, Lambiris E. Correlation between radiological parameters and patient-rated wrist dysfunction following fractures of the distal radius. Injury. Epub 2005;36.

Leung F, Eylul D, Chow SP. Conservative treatment of intra-articular fractures of the distal radius - factors affecting functional outcome. Hand Surg 2000;5(2):145-153.
Published
2017-06-30
CITATION
DOI: 10.5281/zenodo.3970578
Published: 2017-06-30
How to Cite
1.
Jati S, Goyal D, Awasthi D. A study of correlation between radiological and functional outcome of distal radius fracture treated by various modalities. ojmpc [Internet]. 2017Jun.30 [cited 2024Dec.22];23(1):32-5. Available from: https://ojmpc.com/index.php/ojmpc/article/view/47
Issue
Vol 23 No 1 (2017): JAN-JUN
Section
Original Article

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