Does Radiological outcome influence Functional outcome in Intra-articular Distal Radius Fracture? A Prospective study
Journal Title: Journal of Trauma and Orthopaedic Surgery - Year 2018, Vol 0, Issue 0
Abstract
Purpose: The objective of this study was to evaluate the functional and radiographic outcome in distal end radius intra articular fracture treated with volar locking plating at 1yr follow up. To check for association between radiographic parameters and objective and subjective functional outcome. Materials and methods: In a prospective study, 37 patients were evaluated who had undergone volar locking plating for intra articular distal radius fractures in our institute during a 2 year period from April 2014 to May 2016. Clinical and radiographic analysis were performed on follow up at six and twelve months. Stewart scoring method was used for radiographic evaluation. For Subjective assessment PRWE score was used. ROM and Grip strength were measured for objective evaluation. Result: The correlation between the radiographic score and the subjective assessment for patients more than 60 years of age, was not statistically significant. However, in younger age group there was positive correlation between radiographic score and subjective PRWE score. There was a positive correlation between radiographic outcome and functional objective outcome in younger age group. However, the correlation between the radiographic score and the objective functional assessment in age group more than 60 years was not statistically significant.ROM functional score and Grip strength were significant predictors of disability (subjective PRWE score). Conclusion: The majority of the patients had a good to excellent radiographic score which correlated positively with both the objective and subjective functional score, especially in the younger patients; among older patients, functional outcomes were largely independent of radiographic outcomes.The positive correlation between radiological and functional outcome in younger patients suggests that proper articular reconstruction is essential and regular follow-up radiographs are required to assess that reduction of the fragments is maintained till fracture union is achieved. The patient’s age is an important factor in the overall patient satisfaction regardless of the radiographic and the objective functional scores. Hence age and functional demand of patient should be considered during planning of treatment options.
Authors and Affiliations
Vidisha Kulkarni, Harshit Gehlot, Nitish Arora, Mallikarjun Balagaon, Sunil Kulkarni, Govind Kulkarni
Keywords
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- EP ID EP631960
- DOI 10.13107/jto.2018.v05i01.093
- Views 53
- Downloads 0
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