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Mid-term functional outcome after the internal fixation of distal radius fractures.

Phadnis, J; Trompeter, A; Gallagher, K; Bradshaw, L; Elliott, DS; Newman, KJ (2012) Mid-term functional outcome after the internal fixation of distal radius fractures. J Orthop Surg Res, 7. p. 4. ISSN 1749-799X https://doi.org/10.1186/1749-799X-7-4
SGUL Authors: Trompeter, Alex Joel

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Abstract

BACKGROUND: Distal radius fracture is a common injury with a variety of operative and non-operative management options. There remains debate as to the optimal treatment for a given patient and fracture. Despite the popularity of volar locking plate fixation, there are few large cohort or long term follow up studies to justify this modality. Our aim was to report the functional outcome of a large number of patients at a significant follow up time after fixation of their distal radius with a volar locking plate. METHODS: 180 patients with 183 fractures and a mean age of 62.4 years were followed up retrospectively at a mean of 30 months (Standard deviation=10.4). Functional assessment was performed using the Disabilities of the Arm, Shoulder and Hand (DASH) and modified MAYO wrist scores. Statistical analysis was performed to identify possible variables affecting outcome and radiographs were assessed to determine time to fracture union. RESULTS: The median DASH score was 2.3 and median MAYO score was 90 for the whole group. Overall, 133 patients (74%) had a good or excellent DASH and MAYO score. Statistical analysis showed that no specific variable including gender, age, fracture type, post-operative immobilisation or surgeon grade significantly affected outcome. Complications occurred in 27 patients (15%) and in 11 patients were major (6%). CONCLUSION: This single centre large population series demonstrates good to excellent results in the majority of patients after volar locking plate fixation of the distal radius, with complication rates comparable to other non-operative and operative treatment modalities. On this basis we recommend this mode of fixation for distal radius fractures requiting operative intervention.

Item Type: Article
Additional Information: © 2012 Phadnis et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Adolescent, Adult, Aged, Aged, 80 and over, Bone Plates, Disability Evaluation, Female, Follow-Up Studies, Fracture Fixation, Internal, Fracture Healing, Humans, Male, Middle Aged, Palmar Plate, Radiography, Radius Fractures, Recovery of Function, Retrospective Studies, Treatment Outcome, Wrist Injuries, Wrist Joint, Young Adult, Wrist Joint, Humans, Radius Fractures, Wrist Injuries, Radiography, Disability Evaluation, Treatment Outcome, Fracture Fixation, Internal, Retrospective Studies, Follow-Up Studies, Bone Plates, Recovery of Function, Fracture Healing, Adolescent, Adult, Aged, Aged, 80 and over, Middle Aged, Female, Male, Young Adult, Palmar Plate, Distal Radius, Fracture, Internal fixation: functional outcome, 1103 Clinical Sciences, Orthopedics
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Journal or Publication Title: J Orthop Surg Res
ISSN: 1749-799X
Language: eng
Dates:
DateEvent
26 January 2012Published
26 January 2012Accepted
Publisher License: Creative Commons: Attribution 2.0
PubMed ID: 22280557
Web of Science ID: WOS:000306241100001
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/113342
Publisher's version: https://doi.org/10.1186/1749-799X-7-4

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