Patient expectations predict outcomes following distal radius fracture: a prospective cohort study using the TEFTOM questionnaire

Injury ◽  
2020 ◽  
Author(s):  
Christian Fang ◽  
Yu-Jie Chen ◽  
Evan Fang ◽  
Tak-Man Wong ◽  
Zhao-Hua Liu ◽  
...  
Hand ◽  
2009 ◽  
Vol 5 (1) ◽  
pp. 68-71 ◽  
Author(s):  
Roderick H. van Leerdam ◽  
J. Sebastiaan Souer ◽  
Anneluuk L. C. Lindenhovius ◽  
David C. Ring

2019 ◽  
Vol 08 (06) ◽  
pp. 452-455
Author(s):  
Spencer Poiset ◽  
Jack Abboudi ◽  
Gregory Gallant ◽  
Christopher Jones ◽  
William Kirkpatrick ◽  
...  

Abstract Background The effect of postoperative dressing and splinting after distal radius fracture (DRF) open reduction internal fixation (ORIF) is not well understood. A prospective cohort analysis was performed to assess differences in functional and radiographic outcomes with the use of plaster splinting or soft dressing following DRF ORIF. Methods All patients undergoing DRF ORIF with locking volar plates were consecutively enrolled. Preoperative demographic and postoperative radiographic and functional outcome data were collected at 2 weeks and 3 months postoperatively. Functional data included range of motion (ROM), pain on visual analog scale (VAS), Patient-Rated Wrist Evaluation (PRWE), and quick Disabilities of the Arm, Shoulder and Hand (DASH) scores. Radiographic data included loss of fracture reduction. Results A total of 139 patients were enrolled (79 plaster splinting, 60 soft dressing). By the first postoperative visit (POV), there was one case of loss of reduction with plaster splinting and one case with soft dressing with no hardware failure or revision surgery in either group, and no difference in DASH, PRWE, or VAS pain scores. By the final POV, the soft dressing group showed greater ROM in extension by 9.6, flexion by 10.9, and supination by 4.8 degrees over plaster splinting. Additionally, the soft dressing group demonstrated statistically significant improvement in PRWE and DASH scores, as well as VAS pain scores as compared with plaster splinting. Conclusions Applying only soft dressing following DRF ORIF demonstrated improvements in ROM, VAS, and functional outcomes by final follow-up, with no significant differences in radiographic outcomes. No benefit of applying a plaster splint was identified.


2021 ◽  
Vol 49 (12) ◽  
pp. 030006052110609
Author(s):  
Teemu P Hevonkorpi ◽  
Lauri Raittio ◽  
Susanna Vähä-Tuisku ◽  
Antti P Launonen ◽  
Ville M. Mattila

Objective To investigate long-term outcomes associated with distal radius fracture (DRF) in working-aged patients. The authors hypothesized that the majority of patients experience no permanent loss of function when measured with patient-rated wrist evaluation (PRWE). Methods This was a retrospective cohort study of patients with a DRF aged between 18 and 65 years. The primary outcome measure was PRWE score at a minimum of 4 years after DRF. Secondary outcome measures were pain catastrophizing scale (PCS) and radiographic measurements. Results Of 201 patients included, 179 were primarily treated non-operatively with a 5-week cast treatment and 22 were primarily operated. The mean follow-up duration was 5 years. The mean PRWE score was 10.9 (95% confidence interval 8.4, 13.4) and median PRWE was 3.5 (interquartile range, 0.0–13.0). There was minor correlation between PCS and PRWE score (correlation coefficient [CC] 0.3), and between PRWE score and dorsal angulation of the fracture measured after closed reduction (CC 0.2) and in one-week follow-up radiographs (CC 0.2). Conclusions Working-aged patients seem to gain nearly normal wrist function after DRF in longer follow-up. Pain catastrophizing appears to correlate with long-term treatment outcome.


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