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
Related Articles
- EP ID EP631960
- DOI 10.13107/jto.2018.v05i01.093
- Views 57
- Downloads 0
Evaluation of Clavicle Shortening in Clavicle Fractures Treated with “ARM Sling” Or “figure of Eight Bandage”
Background: Clavicle is the most common bone to fracture in humans. It is mainly managed by conservative treatments unless surgical intervention is must. Two main conservative options for clavicle fracture treatment are...
MOA Day Celebrations
Respected Teachers, Seniors and Friends, Warm greetings from MOA office. Our best wishes on MOA day to all our family members. As you know that Maharashtra orthopedic association was formed 35 years ago in the historic c...
Conservative vs. Surgical intervention in Diaphyseal Forearm Fractures in age group 1 to 15 years: A Prospective Study
Background: Pediatric diaphyseal fractures of the radius and ulna, commonly referred to as both bone forearm fractures, are the third most common fracture in the pediatric population and account for 13-40% of all pediatr...
Cost effectiveness of commercial vacuum-assisted closure (VAC) versus custom made vacuum-assisted closure (VAC)
Background: The initial management of open wounds is copious irrigation and thorough debridement, which can cause significant tissue defects. Definitive wound cover can only be planned once the wound is healthy and patie...
Taking MOA Ahead
Respected Teachers, Seniors and Friends, Warm greetings from MOA office. is year in MOA has been a happening year and together we have planned and accomplished quite a few landmarks. At the beginning of the year we had t...