scholarly journals Perbandingan Fungsi Extremitas Atas pada Fraktur Metafise Distal Radius Intraartikuler Usia Muda Antara Tindakan Operatif Dan Non Operatif dengan Penilaian Klinis Quickdash Score

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Edi Burhan ◽  
Menker Manjas ◽  
Ardian Riza ◽  
Erkadius Erkadius
Keyword(s):  
Distal Radius Fracture ◽  
Operative Treatment ◽  
Distal Radius ◽  
Young Age ◽  
Radius Fracture ◽  
Dash Score ◽  
Significant Difference ◽  
Meaningful Relationships ◽  
Radius Distal ◽  
Quick Dash

AbstrakFraktur metafise distal radius merupakan fraktur dengan insiden tertinggi kedua pada usia tua di luar fraktur daerah panggul. Di Rumah Sakit Dr. M. Djamil Padang terdapat 122 dari 612 kasus fraktur radius, antara Januari 2011 – Juni 2012. Tujuan utama terapi ini adalah pengembalian permukaan sendi ke posisi anatomis dengan fiksasi yang stabil dan pengembalian fungsi extremitas atas semaksimal mungkin. Metode: Penelitian ini berupa penelitian retrospektif yang dilakukan di poliklinik orthopaedi RSUP Dr M Djamil Padang pada bulan November-Desember 2012 pada pasien fraktur metafise distal radius intraartikuler usia muda yang mendapat tindakan operatif dibandingkan dengan kelompok non-operatif dengan penilaian klinis Quick DASH Score. Sampel yang digunakan sebanyak 30 orang dari 55 orang yang memenuhi kriteria inklusi. Hasil: Ada hubungan yang bermakna antara fungsi extremitas atas dengan penilaian Quick DASH Score antara tindakan operatif pada fraktur distal radius intraartikuler usia muda dengan tindakan non-operatif (p Fisher = 0,010). Tidak terdapat hubungan bermakna antara Quick DASH Score dengan jenis kelamin dan diagnosa kanan atau kiri. Pembahasan: Terdapat perbedaan yang bermakna antara pasien fraktur metafise distal radius intraartikuler pada usia muda yang mendapat tindakan operatif berupa ORIF dengan yang mendapatkan tindakan non-operatif berupa pemasangan Gips.Kata kunci: Fraktur Metafise Distal Radius, Tindakan Operatif dan Non Operatif, Quick Dash ScoreAbstractFracture metafise distal radius is fracture with second highest incident on old age besides a fracture in the pelvic area. In the Dr. M. Djamil Hospital found 122 from 612 cases fracture of radius from january 2011 to june 2012. The main purpose therapy is restore the joint in the surface position anatomically by fixation a stable and restore the function upper extremitas over their best. Method: This study is a retrospective conducted at the Orthopaedi clinic of Dr M Djamil Hospital in November-December 2012 on young age patinet with the distal radius metafise intrartikular fracture who got the operative treatment in compare with non-operative groups with clinical assessment Quick Dash Score. The sample used is 30 people from 55 people who meet criteria for inclusion. Result: There is meaningful relationship the function upper extremitas with Quick Dash Score a distal radius fracture actions on intraartikuler at a young age that got an operative treatment and non-operative (p Fisher = 0,010 S). There is not meaningful relationships between Quick Dash Score with gender and diagnosis right or left. Discussion: There is significant difference between patients of intraarticuler radius distal metafise fractur who get operatif treatment, such as ORIF and the pasients who get non-operatif treatment, such as Gips.Keywords: Metafise Distal Radius Fracture, Operatif and Non Operatif Treatment, Quick Dash Score

scholarly journals The Usefulness of Radial Column Plate in Distal Radius Fracture: Indications and Results

2021 ◽  
Author(s):  
Sung Jin An ◽  
Sang Hyun Lee ◽  
Dong Hee Kim ◽  
Hyo Seok Jang ◽  
Sung Min Hong ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Articular Surface ◽  
Radius Fracture ◽  
Dash Score ◽  
Locking Plates ◽  
Radial Inclination ◽  
Significant Difference ◽  
Radial Length

Purpose: The most common surgical treatment for distal radius fracture is internal fixation using volar locking plates, but it is sometimes difficult to maintain reduction with them. Therefore, this research reports the results of surgical treatment with additional radial column plates.Methods: We analyzed 12-month follow-up results in 100 cases. The patients had the B or C types of distal radius fractures, in accordance with AO classification, and underwent surgical treatment at our hospital from May 2013 to December 2019. There were 16 cases of B-type and 84 cases of C-type fractures. Out of these, 87 were treated with volar locking plates (V group) and 13 had additional radial column plates (VR group). The results of surgical treatment were examined clinically by measuring the disabilities of the arm, shoulder and hand (DASH) and Mayo wrist score, and radiologically by measuring the radial length, radial inclination, and volar tilt, before and after surgery.Results: After treatment, the radiographic average in the V group showed a radial length of 12.3 mm, radial inclination of 20.2°, and volar tilt of 5.8°, while the VR group showed 11.6 mm, 22.3°, and 9.0° respectively. A statistically significant difference was found in the DASH score, and the DASH score showed good results in the VR group.Conclusion: Additional radial column plate fixation is worth considering because it provides clinically and radiologically satisfactory results in treatment of B and C types distal radius fracture involving articular surface.

scholarly journals Pain Management during Rehabilitation after Distal Radius Fracture Stabilized with Volar Locking Plate: A Prospective Cohort Study

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Pengbo Luo ◽  
Jinjie Lou ◽  
Shengwu Yang
Keyword(s):  
Pain Management ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Rehabilitation Program ◽  
Radius Fracture ◽  
Dash Score ◽  
Volar Locking Plate ◽  
Vas Scores ◽  
Pain At Rest

Introduction. Internal fixation with volar locking plate (VLP) was widely adopted as a first-line choice in treatment of distal radius fracture (DRF). Methods. Total 315 patients with distal radius fracture receiving VLP fixation were included for analysis in this study. The rehabilitation protocol was started immediately after surgery for all patients. During the initial two weeks after surgery, 149 patients received 200 mg celecoxib twice per day, 89 received buprenorphine transdermal patch at 5 μg/h, and 77 received 13 mg codeine plus 200 mg ibuprofen twice per day for pain management. Visual analog scale (VAS) scores of pain at rest, daily activity, and rehabilitative exercise were measured, respectively, every week according to the experiences of the past week in the initial six weeks after surgery. Functional outcomes including range of motion (ROM) for extension, flexion, pronation, supination, ulnar and radial abduction, the disabilities of arm, shoulder, and hand (DASH) score and the validated patient rated wrist evaluation (PRWE), and grip strength were collected at one, three, and six months after surgery. Results. We showed that patients receiving transdermal buprenorphine and codeine/ibuprofen had decreased VAS scores during rehabilitative exercise, better compliance to the rehabilitation program, and thus faster functional recovery. Conclusions. We recommend transdermal buprenorphine or codeine/ibuprofen for pain management during rehabilitation after distal radius fracture stabilized with VLP.

scholarly journals Patients at Increased Risk of Major Adverse Events Following Operative Treatment of Distal Radius Fractures: Inpatient versus Outpatient

2017 ◽  
Vol 06 (03) ◽  
pp. 220-226 ◽  
Author(s):  
Paul Whiting ◽  
Christopher Rice ◽  
Frank Avilucea ◽  
Catherine Bulka ◽  
Michelle Shen ◽  
...  
Keyword(s):  
Propensity Score ◽  
Propensity Score Matching ◽  
Distal Radius Fracture ◽  
Operative Treatment ◽  
Distal Radius ◽  
Outpatient Surgery ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Matching Algorithm

Purpose The purpose of this study was to compare complication rates following inpatient versus outpatient distal radius fracture ORIF and identify specific complications that occur at increased rates among inpatients. Methods Using the 2005–2013 ACS-NSQIP, we collected patient demographics, comorbidities, surgical characteristics, and 30-day postoperative complications following isolated ORIF of distal radius fractures. A propensity score matched design using an 8-to-1 “greedy” matching algorithm in a 1:4 ratio of inpatients to outpatients was utilized. Rates of minor, major, and total complications were compared. A multinomial logistic regression model was then used to assess the odds of complications following inpatient surgery. Results Total 4,016 patients were identified, 776 (19.3%) of whom underwent inpatient surgery and 3,240 (80.3%) underwent outpatient surgery. The propensity score matching algorithm yielded a cohort of 629 inpatients who were matched with 2,516 outpatients (1:4 ratio). After propensity score matching, inpatient treatment was associated with increased rates of major and total complications but not with minor complications. There was an increased odds of major complications and total complications following inpatient surgery compared with outpatient surgery. There was no difference in odds of minor complications between groups. Conclusion Inpatient operative treatment of distal radius fractures is associated with significantly increased rates of major and total complications compared with operative treatment as an outpatient. Odds of a major complication are six times higher and odds of total complications are two and a half times higher following inpatient distal radius ORIF compared with outpatient. Quality improvement measures should be specifically targeted to patients undergoing distal radius fracture ORIF in the inpatient setting.

scholarly journals Patient-Rated Wrist Evaluation: Spanish Version and Evaluation of Its Psychometric Properties in Patients with Acute Distal Radius Fracture

2017 ◽  
Vol 06 (03) ◽  
pp. 216-219 ◽  
Author(s):  
Gerardo Gallucci ◽  
Jorge Boretto ◽  
Agustin Donndorff ◽  
Juieta Dubois ◽  
Sonia Benitez ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Internal Consistency ◽  
Intraclass Correlation ◽  
Spanish Version ◽  
Radius Fracture ◽  
Strong Positive Correlation ◽  
Validity And Reliability ◽  
New Instrument ◽  
Quick Dash

Purpose The purpose of this paper is to validate a Spanish version of patient-rated wrist evaluation (PRWE) and evaluate its psychometric attributes in a population of patients with distal radius fracture. Material and Methods A translation and cross-cultural adaptation of the PRWE to Spanish (PRWE-S) was performed according to standardized guidelines. A total of 50 patients with a distal radius fracture were included during the different steps of the study. The reliability of the new instrument was assessed in terms of construct validity with the Quick DASH (Disability of the Arm, Shoulder, and Hand). Internal consistency and test–retest stability were also examined. Results The Spearman's correlation test for analysis of the criterion validity (0.75) indicates a strong positive correlation between the PRWE-S and the Quick DASH. The internal consistency according to Cronbach's α was 0.96, and the intraclass correlation coefficient was moderate (0.46). Conclusion A Spanish version of the PRWE indicated good validity and reliability in distal radius fracture patients. This valuable tool can be used in Spanish-speaking countries to evaluate various aspects as pain and function in patients with injuries of the wrist.

scholarly journals Clinical outcomes in management of unstable distal radius fractures treated with external fixation and internal fixation: a prospective comparative study

2017 ◽  
Vol 3 (5) ◽  
pp. 1004 ◽  
Author(s):  
Sunil Kumar Dash ◽  
Manish Kumar Sharma ◽  
Sanket Mishra ◽  
Hatia Marandi ◽  
Aurobinda Das ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Functional Recovery ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Dash Score ◽  
Radius Fractures ◽  
Articular Fractures ◽  
Group I

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Management of Distal Radius fracture that are inherently unstable is still a matter of debate. There is no conclusive evidence that support one surgical fixation method over another. An attempt was made to analyze patients treated with Ex-Fix and Internal-Fixation for unstable distal radius fractures and evaluate the clinical efficacy of Ex-fix using principles of ligamentotaxis and Internal-fixation and compare functional recovery, fracture healing time and complications</span><span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective trial was undertaken at our hospital with 35 patients,all aged &gt;20 yrs with closed distal radius fracture and divided into two groups: group I (Ex-fix with or without percutaneous k-wire, and JESS) and group II (Int-Fixation) including 14 and 21 patients, respectively. Periodic clinical examination and x-ray review was carried out to find out fracture union, and functional assessment. Patients were followed up for 1 year, 6 months average</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Group I consumed significant less operative time, fluoroscopic exposure, reduced hospital stay, quicker post-operative pain relief. Quick DASH score were significantly high in elderly treated with Ex-Fix in comparison to young in which DASH score was higher with internal-fixator. Functional recovery was early with int-fixation but post-operative wrist stiffness was also higher. 2 cases of delayed wound healing &amp;1 case of pin tract infection with ex-fix application was observed</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Internal-fixation remains the treatment of choice for unstable distal radius fracture involving the articular surface and in the young, while ext-fixation can be considered as a primary treatment modality in the extra-articular fractures in young or even intra-articular fractures in the elderly</span><span lang="EN-IN">.</span></p>

Comparing Outcomes between Arthroscopic-Assisted Reduction and Fluoroscopic Reduction in AO Type C Distal Radius Fracture Treatment

2020 ◽  
Author(s):  
Siu Cheong Jeffrey Justin Koo ◽  
Kam Yiu Adrian Leung ◽  
Wai Wang Chau ◽  
Pak Cheong Ho
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Reduction ◽  
Radius Fracture ◽  
Dash Score ◽  
Type C ◽  
Assisted Fracture

Abstract Background Distal radius fracture is one of the most common injuries. Poor functional result with restricted wrist motion can be developed when there is intra-articular fibrous tissue development arising from articular step-off and gapping. Objectives The aim of this study is to compare the functional and radiological outcome between arthroscopic-assisted reduction and fluoroscopic reduction in treating unstable intra-articular distal radius fracture. Methods We retrospectively analyzed 12 patients with intraarticular AO type C distal radius fracture treated with arthroscopic-assisted fracture reduction and internal fixation and compared them with another group of 12 patients in which fracture reduction is assessed by fluoroscopy alone (15 males and 9 females, mean age 57.3, range 27–73). The two cohorts were analyzed for differences in radiological parameters including articular stepping and gapping, palmar tilt, radial inclination, ulnar variance as well as functional outcome in range of motion, grip strength, modified mayo wrist score, and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) score at an average of 12.5 months (range 5–26) after surgery. Results Arthroscopic-assisted fracture reduction group has statistically better restoration of articular stepping and gapping, volar tilt and ulnar variance. Range of motion, grip strength, modified mayo wrist score and Quick DASH score also had statistically significant improvement in arthroscopic group. Conclusion Our study showed arthroscopic-assisted technique can precisely restore radiological parameters in highly comminuted distal radius fracture with good functional outcome. Also, associated intra-articular soft tissue injury can be detected and treated simultaneously. Level of Evidence This is a level III, retrospective cohort study.

Ulnar Styloid Fracture Accompanying Distal Radius Fracture Does Not Affect Hand Function, but What About Hand Dexterity?

2021 ◽  
Author(s):  
Hande Usta ◽  
Umut Eraslan ◽  
Merve Sarıipek ◽  
Ali Kitis
Keyword(s):  
Range Of Motion ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Hand Function ◽  
Pinch Strength ◽  
Ulnar Styloid ◽  
Ulnar Styloid Fracture ◽  
Hand Dexterity ◽  
Significant Difference ◽  
Quick Dash

Abstract Introduction Hand dexterity is not addressed in patients with distal radius fracture (DRF) accompanied with ulnar styloid fracture (USF) in literature. This study aimed to determine whether an associated USF following a DRF has any effect on hand dexterity. Materials and Methods Patients diagnosed with DRF were included in the study and were divided into two groups according to the USF presence (USF group and non-USF group). Pain, range of motion, Quick-DASH (Quick-Disabilities of the Arm, Shoulder, and Hand), handgrip and pinch strength, Purdue Pegboard test, and Jebsen Taylor Hand Function test were measured in the sixth month. Results A total of 125 patients, 68 females (54.4%) and 57 males (45.6%) were included in the study. The mean age of the patients was 47.15 ± 13.41 (18–65) years. There were 60 patients (48%) in the USF group and 65 patients (52%) in the non-USF group. No significant difference was found in pain, range of motion, Quick-DASH and handgrip and pinch strength between the groups (p > 0.05). The hand dexterity tests showed no statistically significant difference between the groups in the sixth month (p > 0.05). Discussion Hand function can be determined more accurately by assessing hand dexterity. In this study, it is emphasized that concomitant USF does not lead to poorer hand dexterity.

COMPARISON BETWEEN CLOSED PINNING AND PLATE PLASTERING TREATMENT METHODS FOR DISTAL RADIUS FRACTURE IN YOUNG PATIENTS ADMITTED TO LMAM KHOMEINI HOSPITAL IN JIROFT IN 2019

2021 ◽  
pp. 2150021
Author(s):  
Sina Heydari ◽  
Najmeh Alizadeh ◽  
Milad Rezaiye ◽  
Mohammad Ali Sheikh Beig Goharrizi ◽  
Akbar Mehralizade ◽  
...  
Keyword(s):  
Treatment Group ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Young Patients ◽  
Radius Fracture ◽  
Dominant Hand ◽  
Treatment Methods ◽  
Treatment Groups ◽  
Study Results ◽  
Significant Difference

Background: Distal radius fracture is a common type of bone fracture in patients of all ages. Most of the complications of this type of fracture are related to intra-articular fractures. Aim: This study aimed to compare the treatment results of distal radius fracture with two closed pinning and plate plastering methods in young patients admitted to Imam Khomeini Hospital in Jiroft in 2019. Method: The sample size was 176 patients with distal radius fractures admitted to Imam Khomeini Hospital in Jiroft in 2019. The patients were randomly divided into two treatment groups: (1) closed reduction and percutaneous pinning, and (2) plastering with plates. Finally, patients were compared in terms of the mentioned variables immediately after surgery and three months after that. The collected data were coded, entered, and analyzed by using SPSS. Results: The mean age of the selected patients in the closed pinning treatment group was 27.32 years and in the plate plastering group was 27.72 years. The minimum age of patients was four years, and the maximum was 59 years. Patients in the plate plastering treatment group seemed to have a higher mean age than those in the closed pinning treatment group, but this difference is not statistically significant ( [Formula: see text]). There was no statistically significant difference between men’s and women’s ratio in terms of being in the two treatment groups ( [Formula: see text]). There was no statistically significant difference between the right hand and left dominant hand ratio in the two treatment groups ( [Formula: see text]). There was a statistically significant difference between the ability and disability ratio to perform the activity in the two treatment groups ( [Formula: see text]). There was no significant difference between the subjective ratio of no pain, minor pain, and occasional pain in the two treatment groups ( [Formula: see text]). There was a significant difference between the ratio of movement limitation less than 20%, limitation 20–50%, and limitation more than 50% in the two treatment groups ( [Formula: see text]). There was a significant difference between the ratio of normal wrist strength, strength 30–60, and strength 60–90 in the two treatment groups ( [Formula: see text]). There was no statistically significant difference between the uncomplicated ratio and partial crepitation in terms of placement in the two treatment groups ( [Formula: see text]). Finally, there was no statistically significant difference between the total score ratio, closed pinning, and plate plastering treatment groups ( [Formula: see text]). Conclusion: According to this study results, there is no difference between the two treatment methods of closed pinning and plastering with a plate. However, the pinning treatment group had the highest frequency of excellent scores than the plate plastering method.

scholarly journals Volar Locking Plate Fixation of Distal Radius Fractures: Splint versus Immediate Mobilization

2018 ◽  
Vol 07 (03) ◽  
pp. 237-242 ◽  
Author(s):  
André Duprat ◽  
Juan Diaz ◽  
Paul Vernet ◽  
Stéphanie Gouzou ◽  
Sybille Facca ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Radius Fracture ◽  
Volar Locking Plate ◽  
Locking Plate Fixation ◽  
Group I ◽  
Quick Dash ◽  
Immediate Mobilization

Background The goal of this study was to demonstrate that the use of a splint after performing an osteosynthesis of the distal radius with a volar locking plate is unnecessary. The main hypothesis was that postoperative flexion of the wrist was greater without a splint. Secondary hypothesis was that patients who were allowed immediate mobilization got better results in terms of pain, Quick Disabilities of the Arm, Shoulder and Hand (DASH), Patient-Rated Wrist Evaluation (PRWE), strength, extension, pronation, and supination. Case Description Our series included 72 patients, aged 59 years in average of which 59 were female patients. All patients had been operated for a volar locking plate fixation of a distal radius fracture. The first 36 patients (group I) were immobilized by a splint at 30° of extension of the wrist for 2 weeks. The following 36 patients (group II) were not immobilized. Results At 3 months, all the average variables were better in the group without splint (group I: flexion 74.83%, extension 83.13%, pronation 92.07%, supination 88.11%, pain 1.72/10, Quick DASH 21.78/100, PRWE 22.97/100, strength 62.96%; group II: flexion 85.50%, extension 83.4%, pronation 92.96%, supination 92.96%, pain 1.28/10, Quick DASH 19.57/100, PRWE 20.56/100, strength 66.34%). No complication was reported. Conclusion Overall, our results demonstrate that wearing a splint after volar locking plate fixation of a distal radius fracture is unnecessary.

scholarly journals Disability and Pain are the Best Predictors of Sick Leave After a Distal Radius Fracture in Men

2020 ◽  
Vol 30 (4) ◽  
pp. 656-664 ◽  
Author(s):  
Lisa Egund ◽  
Karin Önnby ◽  
Fiona Mcguigan ◽  
Kristina Åkesson
Keyword(s):  
Sick Leave ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Treatment Method ◽  
Radius Fracture ◽  
Dash Score ◽  
Related Factors ◽  
Health Lifestyle ◽  
The Difference ◽  
The Impact

AbstractPurpose Distal radius fracture often compromises working ability, but clinical implications are less studied in men due to its lower incidence. This study therefore describes sick leave in men with distal radius fracture, specifically exploring the impact of patient- and fracture-related factors. Methods Professionally active men aged 20–65 with distal radius fracture were followed prospectively for 1-year (n = 88). Data included treatment method, radiographic parameters pre/post treatment, complications, health, lifestyle and occupational demand. Patient outcomes were self-reported sick leave; Disability of the Arm, Shoulder and Hand (DASH) score; pain (5 likert scale); SF-36: Physical Component Scale (PCS) and Mental Component Scale (MCS). Results Median sick leave was 4 weeks (IQR 0; 8); almost a third reported taking no sick leave. Categorizing sick leave into 3 groups (0–6, 7–12 and > 12 weeks), men with the longest sick leave had 22 points higher DASH score (p = 0.001) and 5 points lower PCS (p = 0.02) at 1 week and the difference remained over time; they were also older and more often treated surgically. The strongest predictors of length of sick leave were one-week post-fracture DASH score (rs = 0.4, p < 0.001), pain intensity (rs = 0.4, p < 0.001) and PCS (rs = − 0.4, p = 0.002). The correlation between sick leave and pain was even stronger analyzing treatment groups separately (closed reduction and cast rs = 0.56, p = 0.007, surgery rs = 0.42, p = 0.04). Conclusions Self-reported disability, pain and global health measurements as early as 1 week post-fracture are the strongest predictors of length of sick leave regardless of treatment; an important finding easily transferrable to clinical management of distal radius fractures.

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