Influence of Cortical Comminution and Intra-articular Involvement in Distal Radius Fractures on Clinical Outcome: A Prospective Multicenter Study

Journal of Wrist Surgery
M Å WadstenA S Sayed-Noor

Abstract

Aim  The purpose of this prospective multicenter study was to test the predictive value of cortical comminution and intra-articular involvement on function and quality of life in distal radius fractures (DRFs) using the Buttazzoni's classification system. Patients and Methods  We studied 406 patients between skeletal maturity and 74 years of age with DRF. Fractures with acceptable radiographic alignment were immobilized with a cast. Fractures with nonacceptable radiographic alignment underwent closed reduction and 4 to 6 weeks cast immobilization. Radiographs were obtained after reduction and at 10 to 14 days. Redisplaced fractures were offered surgical treatment. One-year follow-up included grip strength, range of motion (ROM), quickDASH, EQ-5D (including visual analog scale [VAS] for health status), and VAS pain. Results  We found no statistically significant differences in QuickDASH, EQ-5D questionnaire, EQ-5D health status VAS, and VAS pain among the Buttazzoni classes. However, initial displacement was associated with worse quickDASH score, worse EQ-5D score, reduced grip strength, and reduced ROM. Dorsal comminution was associated with worse quickDASH score, reduced flexion, and reduced pronation-supination ability. Volar...Continue Reading

Citations

May 6, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chul Ki GoorensJean François Goubau
Nov 21, 2020·Journal of Orthopaedic Surgery and Research·Lingde KongBing Zhang
Feb 26, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Robbert Josephus Hendrik van LeeuwenFrank Joseph Paulus Beeres

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