Correlation between radiographic and functional results in adult patients with distal radius fracture treated with no surgical treatment
DOI:
https://doi.org/10.33064/56lm20244102Keywords:
Distal radius fractures, Not surgical treatment, Functional results, Radiographic resultsAbstract
Introduction: Distal radius fractures in adult patients have an incidence of 190-200/100,000 habitants, representing between 26-46% of all fractures observed in a primary care center. Anatomic reduction of the distal radius fracture usually has better functional results. Objective: To determine the correlation between radiographic and functional results in adult patients with distal radius fractures treated with no surgical treatment. Material/Methods: Retrospective review was performed the records of patients with distal radius fractures treated conservatively between January 2015 and September 2020. Radiographic measurements were performed at the beginning and at the end of treatment, later the functional results were evaluated with the PRWE questionnaire Via telephone, this due to the contingency by COVID-19. For the general data of the patients, the measures of central tendency (mean, median, mode) were carried out and for the comparison of groups the Chi-square test was used. All the statistical analysis was carried out with the Statistical Package for the Social Sciences software. (Version 19.0; SPSS, Inc., Chicago, IL, USA). Results: A total of 31 patients were included in our study. During follow-up, there were 16 patients with acceptable reduction and 15 patients with unacceptable reduction. The results of this group of patients were compared with the results of the PRWE questionnaire, presenting a non-statistically significant association (p=0.765).
Recepción: 08/09/2022
Aprobación: 03/04/2024
Downloads
Metrics
References
Wæver D, Madsen M, Rölfing J, Borris L, Henriksen M, Nagel L et al. Distal radius CC
Bonafede M, Espindle D, Bower A. The direct and indirect costs of long bone fractures in a working age US population. Journal of Medical Economics. 2012;16(1):169-178.
Kilgore M, Morrisey M, Becker D, Gary L, Curtis J, Saag K et al. Health care expenditures associated with skeletal fractures among medicare beneficiaries, 1999-2005. Jour of Bon and Min Res. 2009;24(12):2050-2055.
Belloti J, Tamaoki M, Franciozi C, Santos J, Balbachevsky D, Chap E et al. Are distal radius fracture classifications reproducible? Intra and interobserver agreement. Sao Paulo Med Jour. 2008;126(3):180-185.
Costa M, Achten J, Plant C, Parsons N, Rangan A, Tubeuf S et al. UK DRAFFT: a randomised controlled trial of percutaneous fixation with Kirschner wires versus volar locking-plate fixation in the treatment of adult patients with a dorsally displaced fracture of the distal radius. Hea Tech Asse. 2015;19(17):1-124.
MacIntyre N, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. Jour of Han Ther. 2016;29(2):136-145.
Porrino J, Maloney E, Scherer K, Mulcahy H, Ha A, Allan C. Fracture of the distal radius: Epidemiology and premanagement radiographic characterization. Am Jour of Roentg. 2014;203(3):551-559.
Fernandez D. Closed manipulation and casting of distal radius fractures. Han Clin. 2005;21(3):307-316.
Neidenbach P, Audigé L, Wilhelmi-Mock M, Hanson B and De Boer P. The efficacy of closed reduction in displaced distal radius fractures. Injury. 2010;41(6):592-598.
Kumar S, Penematsa S, Sadri M, Deshmukh S. Can radiological results be surrogate markers of functional outcome in distal radial extra-articular fractures? Inter Orth. 2007;32(4):505-509.
MacDermid JC. The Patient-Rated Wrist Evaluation (PRWE)© User Manua. 2007
Kong L, Kou N, Wang Y, Lu J, Tian D, Zhang B. The necessity of restoration of radiologic parameters by closed reduction in elderly patients with distal radius fractures. Med Scie Mon. 2019;25:6598-6604.
Gutiérrez-Monclus R, Gutiérrez-Espinoza H, Zavala-González J, Olguín-Huerta C, Rubio-Oyarzún D, Araya Quintanilla F. Correlation between radiological parameters and functional outcomes in patients older than 60 years of age with distal radius fracture. HAND. 2018;14(6):770-775.
Anzarut A, Johnson J, Rowe B, Lambert R, Blitz S, Majumdar S. Radiologic and patient-reported functional outcomes in an elderly cohort with conservatively treated distal radius fractures. The Jour of Han Surg. 2004;29(6):1121-1127.
Gamba C, Fernandez F, Llavall M, Diez X, Perez F. Which immobilization is better for distal radius fracture? A prospective randomized trial. Inter Orth. 2017;41(9):1723-1727.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Jorge Luis Soriano Márquez, Carlos Rubén Chávez Galván, José Antonio Robles García, Marco Paolo Mazzini Berra
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
La revista Lux Médica está bajo una licencia de Creative Commons Reconocimiento-NoComercial-Compartir Igual 4.0 Internacional.