“Do Radiographic parameters predict Functional Outcome in Distal end Radius Fracture?”
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2016, Vol 2, Issue 3
Abstract
Background: Lower end radius fractures are among the most common fractures of the upper limb and accounts for 15-20% of orthopedic admissions in hospitals. Management these fractures continues to be a therapeutic problem and challenge. Though there are various treatment options described so far; still there is lacunae in the literature, regarding accurate treatment modality, particularly in case of unstable fractures. Various clinical and biomechanical studies have shown the benefits of restoring anatomical reduction. However other studies have demonstrated that restoring normal anatomy does not offer better functional outcomes. While achieving good fracture alignment may be significant, the actual functional importance of anatomical reduction is controversial. The assumption that functional outcome is better by restoration of anatomy is argued. Most orthopaedicians accept the fact that anatomical alignment is preferable, but the threshold for acceptable malunion and the long-term outcome of anatomical reduction on functional outcome and patient related satisfaction remain to be evaluated. The study had been taken up to disclose the correlation between anatomical and functional outcome in these patients with distal radius fracture. Objective: To examine association of radiographic parameters of distal radius fracture and objective (ROM, Grip strength) and subjective (PRWE) functional outcome. Study design and setting: A observational study on management of adult patients with distal radial fractures presenting at Deenanath Mangeshkar Hospital and Research Centre, Pune from October 2013 to December 2015. Patients and methods: This study carried out on the patients with intra-articular and extra-articular fractures of the distal end radius as per selection criteria and after taking a written informed consent. Outcome measures were assessed both objectively and subjectively. Objective assessment included a radiographic score determined by measuring the radial length, radial angle and dorsal angle on wrist radiographs; and the wrist function by measuring the range of motion and hand-grip strength. Subjective assessment was done using wrist pain and disability based on the patient rated wrist evaluation (PRWE) score. Data were analyzed using SPSS v20.
Authors and Affiliations
Vikram Ashok Rajguru, Swarup-Masih Sohanlal Daniel, Amit Kale3
Keywords
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