DISTAL RADIUS FRACTURE

FUNCTIONAL OUTCOME IN PATIENTS WITH DISTAL RADIUS FRACTURE IRRESPECITIVE of RADIOLOGICAL DEFORMITIES

Abstract

Objectives: The objective of the study is to find out functional outcome in
patients with distal radius fractures irrespective of radiographic deformities after close reduction
and cast splint age. Design: Case series study. Setting: Department of Orthopedics and Spine
Surgery, Hayatabad Medical Complex Peshawar. Period: May 2010 to April 2015. Materials
and Methods: 28 consecutive patients of either sex with age above 40 years, having distal
radius fracture. Functional outcome was assessed with disability of arm, shoulder and hand
(DASH) and Patient Rated Wrist/Hand Evolution (PRWHE) questionnaire. Results: Out of 28
patients male were 12(42.9%) and female were 16(57.1%). minimum age was 40 maximum
81 and average was 50. Right side was involved in 17 (60.7%) while left side was involved in
11(39.3%). The DASH Score Record shows that no Disability was seen in 13(46.4%), Minimal
Disability in 7(25%), Mild Disability in 5(17.9%), Moderate Disability in 1(3.6%) and Severe
Disability in 2(7.1%) patients. While the PRWHE Score Record shows that no Disability was
seen in 14(50%), Minimal Disability in 6(21.4%), Mild Disability in 5(17.9%), Moderate Disability
in 1(3.6%) and Severe Disability in 2(7.1%) patients. Conclusion: A majority of the distal radius
fractures can achieve good results after treatment by closed reduction and cast immobilization,
for which conservative treatment should be the first choice. Deformity of the distal radius cannot
affect the functional outcome of the wrist and hand.