The outcome of conservative treatment of adult distal radius fractures compared with the other wrist: radiological and functional evaluation
Mustafa Uslu, Mehmet Arıcan, Cengiz Işık, Hakan Sarman 1 * , İsmail Boyraz
More Detail
1 Bolu Abant İzzet Baysal Üniversitesi Ortopedi ve Travmatoloji Bölümü, Bolu, Turkey
* Corresponding Author

Abstract

Objective: This study was designed to evaluate anatomical and functional results of closed reduction-long arm cast treatment for distal radius fractures and compared other healthy wrist in the adults.
Methods: 77 patients with distal radius fracture were treated conservatively between January 2010 and December 2010. The fractures were classified according to AO and Frykman classification system and investigated prospectively. The radiological and anatomical results were assessed by the Stewart score criteria. The functional results were assessed by Quick-Disability of Arm, Shoulder and Hand questionnaire (Q-DASH) and the Stewart II score criteria. The mean follow-up of patients was 12 months.
Results: The forty patients had right wrist fractured, 37 patients had left wrist fractured. According to Frykman classification 46 patients were type I-II fractured, according to AO classification 59 patients were type 23,A2,1 and 23,A2,2 fractured. According to Stewart the radiological and anatomical, the result were excellent in 57, good in 17, fair in 3. According to Stewart II functional criteria, the results were assessed excellent in 57, good in 8, fair in 12 The mean Q-DASH score was 6,37. The overall complication rate was 12.98%. Mild Carpal tunnel syndrome was observed in the two patients, ulna styloid nonunion in the four patients, pain of distal radioulnar joint in the one patient, mild carpal tunnel syndrome and tenderness of distal radioulnar joint in the three patients.
Conclusion: Closed reduction and cast immobilization is still an effective and inexpensive treatment method in distal radial fractures.

License

This is an open access article distributed under the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article

https://doi.org/10.5799/ahinjs.01.2014.03.0428

J Clin Exp Invest, 2014 - Volume 5 Issue 3, pp. 403-409

Publication date: 09 Sep 2014

Article Views: 1651

Article Downloads: 2011

Open Access References How to cite this article