Fractures of the Distal End of Radius in Elderly Patients. A Comparative Study of Anatomical and Functional Results.

Fujii, Koji; Henmi, Tatsuhiko; Kanematsu, Yoshiji; Mishiro, Takuya; Terai, Tomoya

doi:10.5035/nishiseisai.50.302

Cited by 23 publications

(33 citation statements)

References 5 publications

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“…Moreover, in the study by Jaremko et al (25) , patients undergoing conservative treatment for fractures of the distal extremity of the radius were evaluated and it was observed that there was no relationship between the functional results and reduction of the fracture to "acceptable" radiographic levels. Our data confirm the findings of Fujii et al (24) and Jaremko et al (25) , i.e. that the radiological values did not influence the range of motion.…”

Section: Extensionsupporting

confidence: 93%

“…Fujii et al (24) observed that there was no relationship between the functional result and reestablishment of the radiographic parameters of the distal extremity of the radius to the way they were before the fracture. Moreover, in the study by Jaremko et al (25) , patients undergoing conservative treatment for fractures of the distal extremity of the radius were evaluated and it was observed that there was no relationship between the functional results and reduction of the fracture to "acceptable" radiographic levels.…”

Section: Extensionmentioning

confidence: 99%

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Análise estatística dos resultados funcionais e radiográficos após utilização de placa volar bloqueada nas fraturas da extremidade distal do rádio

et al. 2012

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Objectives: To evaluate the functional results from using a fixed-angle locked volar plate for treating fractures of the distal extremity of the radius, using the DASH (disorders of the arm, shoulder and hand) questionnaire and its radiographic correlation with the Lidström classification. Methods: Thirty patients with unstable fractures of the distal extremity of the radius were evaluated after they had undergone a surgical procedure consisting of open reduction and internal fixation using a fixed-angle locked volar plate, at the Military Police Central Hospital of Rio de Janeiro between 2008 and 2009. The results were assessed based on range of motion, DASH protocol scores and radiographies with the Lidström classification. Results: The mean age of the patients in the study was 51 years. The Rev Bras Ortop. 2012;47(3):297-303The authors declare that there was no conflict of interest in conducting this work This article is available online in Portuguese and English at the websites: www.rbo.org.br and www.scielo.br/rbort mean DASH score was 11.9 points. It was observed that the radiographic findings did not influence the DASH score. It was found that flexion, pronation, supination and radial deviation correlated with the DASH score. Conclusions: The study showed that subjective functional outcomes using the DASH protocol, obtained from using a locked volar plate to treat fractures of the distal extremity of the radius, are influenced by the range of motion, and especially by the flexion, supination, pronation and radial deviation of the wrist after surgery. There is no correlation between the radiological parameters of either the normal or the operated radius, and the subjective functional outcomes assessed using the DASH protocol.

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Section: Extensionsupporting

confidence: 93%

Section: Extensionmentioning

confidence: 99%

Análise estatística dos resultados funcionais e radiográficos após utilização de placa volar bloqueada nas fraturas da extremidade distal do rádio

et al. 2012

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“…However, other studies have shown radiographic parameters predict functional outcome [4,12,19,29,40].…”

Section: Introductionmentioning

confidence: 99%

A Functional Outcomes Survey of Elderly Patients who Sustained Distal Radius Fractures

Amorosa

Vitale

Brown

et al. 2011

Hand (New York, N,Y.)

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Purpose This study aims to examine the subjective functional outcomes of patients 70 years or older who sustained distal radius fractures through the use of the Disability of the Arm, Shoulder, and Hand (DASH) and Short Form-8 Health (SF-8) surveys. Methods Patients at least 70 years old with a distal radius fracture between 2000 and 2004 were identified and their charts reviewed. They were contacted to answer the DASH and SF-8 surveys. The radiographic injury parameters examined were articular stepoff greater than 2 mm, dorsal tilt on the lateral radiograph, ulnar variance, and presence of an ulnar styloid fracture. Results Fifty-eight patients answered the DASH and SF-8 surveys. The mean age at the time of injury in the survey group was 78 years old (range 70-94 years). Mean follow-up period was 33 months (range 13-65 months). Average DASH and SF-8 scores were 22.3 (SD 22.4) and 31.5 (SD 6.9), respectively. DASH scores were inversely correlated with SF-8 scores (R=−0.65, p<0.01). Patients who sustained an associated ulnar styloid fracture demonstrated worse DASH scores than those without an ulnar styloid fracture (presence of ulnar styloid fracture: mean DASH 26.2, no ulnar styloid fracture: mean DASH 12.9, p=0.04). There were no significant differences in functional outcome for any other radiographic parameters assessed. Males had statistically better DASH scores than the females (males: mean DASH 6.9, females: mean DASH 24.4, p= 0.003). No difference was found in functional outcome scores among different treatment groups. Conclusion In elderly patients with distal radius fractures, the only radiographic parameter we found that affects functional outcome is an associated ulnar styloid fracture. Additionally, females had worse functional outcomes than males.

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“…9 Studies by "Kreder" et al, "Fuji" et al, "Kurup" et al, "Mardanikivi" et al claim that distal end radius fractures, even when displaced, have better functional outcome with closed reduction and K-wire pinning compared to closed reduction and cast. 10,11,12,13 "Rosenthal" et al study found intrafocal pinning technique to be better compared to closed reduction and cast.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Functional Outcome of Extra Articular Distal End Radius Fracture Treated with Closed Reduction and Traditional Cast Immobilization Versus Closed Reduction with Percutaneous Pinning in Elderly Age

Konde¹,

Mohd²,

Marathe³

et al. 2018

IJCMR

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Introduction: Distal end radius fractures are the commonest fractures occurring in the upper extremity that account for 17% of all upper limb injuries. A review of literature shows unsatisfactory results by usual plaster cast method, with deformity in 60% and unsatisfactory results in 32% of patients. We decided to carry out a study comparing results of traditional cast versus percutaneous pinning in the elderly age group.

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Fractures of the Distal End of Radius in Elderly Patients. A Comparative Study of Anatomical and Functional Results.

Cited by 23 publications

References 5 publications

Análise estatística dos resultados funcionais e radiográficos após utilização de placa volar bloqueada nas fraturas da extremidade distal do rádio

Análise estatística dos resultados funcionais e radiográficos após utilização de placa volar bloqueada nas fraturas da extremidade distal do rádio

A Functional Outcomes Survey of Elderly Patients who Sustained Distal Radius Fractures

A Comparative Study of Functional Outcome of Extra Articular Distal End Radius Fracture Treated with Closed Reduction and Traditional Cast Immobilization Versus Closed Reduction with Percutaneous Pinning in Elderly Age

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