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Comparison of Five Years Clinical and Radiological Outcomes between Progressive and Non-Progressive Wrist Osteoarthritis after Volar Locking Plate Fixation of Distal Radius Fractures
- Source :
- The Journal of Hand Surgery (Asian-Pacific Volume). 24:30-35
- Publication Year :
- 2019
- Publisher :
- World Scientific Pub Co Pte Ltd, 2019.
-
Abstract
- Background: This study aimed to identify the effect of the progression of postoperative wrist osteoarthritis on 5 years clinical and radiological outcomes after volar locking plate fixation of distal radius fractures.Methods: Altogether, 56 patients with distal radius fractures were followed up 5 years after surgery. Clinical assessment was performed using the Mayo modified wrist score, a visual analogue scale of pain, the Japanese version of the Disabilities of the Arm, Shoulder, and Hand score, and Patient-related wrist evaluation. Standardized wrist radiographs were used to assess wrist morphology and the Knirk and Jupiter’s degree of osteoarthritis. Multivariate logistic regression was used to analyze postoperative morphological changes in the wrist and carpal alignment regarding their correlation with progression of wrist osteoarthritis.Results: Progression of postoperative wrist osteoarthritis was recognized in 37 of the 56 cases (66.1%). Compared with the clinical outcomes at the time of the fracture union completion, almost clinical outcomes improved up to 5 years follow-up time as well as at 1 year after surgery. The range of wrist flexion at 5 years follow-up was significantly less in the progressive osteoarthritis group than in those with non-progressive osteoarthritis. The persistent step-off immediately after surgery significantly affected the postoperative progression of wrist osteoarthritis. Changes in the radial inclination, volar tilt, and radioscaphoid angle correlated with progression of wrist osteoarthritis. The highest correlation was with the change of radioscaphoid angle.Conclusions: Good clinical results were maintained at 5 years after surgery, but progression of postoperative wrist osteoarthritis interfered with improvement of wrist flexion. Change in the radioscaphoid angle was the factor that was most highly correlated with progression of postoperative wrist osteoarthritis.
- Subjects :
- Adult
Male
Wrist Joint
musculoskeletal diseases
Time Factors
Radiography
Osteoarthritis
Fracture Fixation, Internal
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Bone plate
medicine
Humans
Range of Motion, Articular
Aged
Pain Measurement
030203 arthritis & rheumatology
Orthodontics
030222 orthopedics
business.industry
Follow up studies
General Medicine
Radius
Middle Aged
medicine.disease
Wrist osteoarthritis
body regions
Radiological weapon
Locking plate fixation
Female
Radius Fractures
business
Bone Plates
Follow-Up Studies
Subjects
Details
- ISSN :
- 24248363 and 24248355
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- The Journal of Hand Surgery (Asian-Pacific Volume)
- Accession number :
- edsair.doi.dedup.....0be057ab3221f7972b9b5f55e94542c8