Non-operative treatment of displaced distal radius fractures after adequate closed reduction confirmed on radiograph leads to acceptable functional outcomes after 12months, however, at the expense of 40% subsequent surgeries.ĭisplaced Distal radius Malunion Non-operative Secondary displacement.Ĭopyright © 2017 Elsevier Masson SAS. Patients with a symptomatic malunion had significant higher DASH scores compared to patients with secondary displacement. Younger patients were more likely to undergo subsequent surgery. No significant differences in DASH scores between patients who were treated non-operatively and patients who received subsequent surgery were found. Forty-six (40%) patients underwent subsequent surgery due to a secondary displacement or symptomatic malunion. Dias and colleagues 53 randomized 97 patients with nondisplaced fractures to conventional casting for 5 weeks or crepe bandage, and 90 patients with displaced. For distal radius fracture, non-union is arbitrarily defined as no bony union at 6 months after the injury.1, 2, 3 However, the presence of pseudoarthrosis. After 12months the median DASH score was 15. 5 With regard to displaced fractures, debate. 20 For patients with non-displaced fractures, nonsurgical treatment with casting or splinting in-situ is preferred. Fractures were classified according to the AO/OTA classification as follows: AO/OTA type A (49%), AO/OTA type B (3%), AO/OTA type C (48%). After suffering a distal radius fracture, elderly patients and their providers are faced with choosing between nonsurgical versus surgical management. The median age was 62 years and 79% was female. One-hundred and sixteen patients were included. Additionally, the difference in DASH scores between patients who were treated due to secondary displacement and asymptomatic malunion was compared. Secondary outcome was the number of subsequent surgeries due to secondary displacement or a symptomatic malunion, and their possible predictors. A chauffeur fracture is a type of distal radius fracture, which means the break is at the end of the radius bone. If the patient presents with a non-displaced fracture, they can be treated with 4 to 6 weeks of a short arm cast followed by use of an orthosis as needed for comfort. A chauffeur fracture occurs when the pointed tip at the end of your radius (radial styloid process) breaks. Distal radius fracture in young patients usually occurs in the setting of play or sports and accounts for 23 of all sports-related fractures in adolescents. There are two long bones in your forearm: the radius and the ulna. DASH scores were prospectively collected pre-trauma and at three, six and 12months. A chauffeur fracture is a broken bone near your wrist. The primary outcome was the DASH score at 12months. The purpose of this study was to evaluate functional outcomes, measured with the Disability of the Arm, Shoulder and Hand (DASH) questionnaire, in non-operative treated patients with displaced distal radius fractures and an adequate closed reduction confirmed on radiograph.įrom a retrospective database, we reviewed non-operative treated adult patients with an unilateral displaced distal radius fracture and adequate closed reduction confirmed on radiograph. Although secondary displacement following closed reduction and plaster immobilisation is high, several guidelines still recommend non-operative treatment for displaced distal radius fractures with an adequate closed reduction.
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