Radiocarpal joint stiffness following surgical treatment for distal radius fractures: the incidence and associated factors
Abstract Background Postoperative radiocarpal joint stiffness (RJS) is common in patients with distal radius fractures (DRFs). The purpose of this study was to record the incidence of RJS and to determine potential risk factors that may be associated with it. Methods We retrospectively included a se...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-08-01
|
| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01857-6 |
| _version_ | 1811278938324860928 |
|---|---|
| author | Lingde Kong Yajie Zhai Zuzhuo Zhang Jian Lu Bing Zhang Dehu Tian |
| author_facet | Lingde Kong Yajie Zhai Zuzhuo Zhang Jian Lu Bing Zhang Dehu Tian |
| author_sort | Lingde Kong |
| collection | DOAJ |
| description | Abstract Background Postoperative radiocarpal joint stiffness (RJS) is common in patients with distal radius fractures (DRFs). The purpose of this study was to record the incidence of RJS and to determine potential risk factors that may be associated with it. Methods We retrospectively included a series of patients who suffered from DRFs and underwent volar plate fixation. Patients’ basic data, radiographic data, and postoperative data were collected. The incidence of RJS during follow-up was recorded, and both univariate analyses and multivariate logistic regression were used to determine factors associated with it. Results A total of 119 patients were included in this study. After surgical procedures, there were 42 (35.3%) patients with RJS and 77 (64.7%) patients without. The incidence of RJS after surgical treatment is 35.3%. Multivariate analysis showed that intra-articular fracture (OR, 1.43; 95% CI, 1.13–1.81), pre-operative severe swelling (OR, 1.35; 95% CI, 1.05–1.74), post-operative unsatisfied volar tile (OR, 1.38; 95% CI, 1.01–1.89), and improper rehabilitation exercise (OR, 1.72; 95% CI, 1.18–2.51) were correlated with the incidence of RJS during follow-up. Conclusions Patients with intra-articular fracture, pre-operative severe swelling, post-operative unsatisfied volar tile, and improper rehabilitation exercise were factors associated with the incidence of wrist stiffness. Preoperative risk notification and postoperative precautions are necessary for relevant patients. |
| first_indexed | 2024-04-13T00:44:43Z |
| format | Article |
| id | doaj.art-bdc0b5f8665a4a95bd0aabac6e7f65b4 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T00:44:43Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-bdc0b5f8665a4a95bd0aabac6e7f65b42022-12-22T03:10:02ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-08-011511710.1186/s13018-020-01857-6Radiocarpal joint stiffness following surgical treatment for distal radius fractures: the incidence and associated factorsLingde Kong0Yajie Zhai1Zuzhuo Zhang2Jian Lu3Bing Zhang4Dehu Tian5Department of Orthopedics, The Third Hospital of Hebei Medical UniversityDepartment of Orthopedics, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Orthopedics, The Third Hospital of Hebei Medical UniversityDepartment of Orthopedics, The Third Hospital of Hebei Medical UniversityDepartment of Orthopedics, The Third Hospital of Hebei Medical UniversityAbstract Background Postoperative radiocarpal joint stiffness (RJS) is common in patients with distal radius fractures (DRFs). The purpose of this study was to record the incidence of RJS and to determine potential risk factors that may be associated with it. Methods We retrospectively included a series of patients who suffered from DRFs and underwent volar plate fixation. Patients’ basic data, radiographic data, and postoperative data were collected. The incidence of RJS during follow-up was recorded, and both univariate analyses and multivariate logistic regression were used to determine factors associated with it. Results A total of 119 patients were included in this study. After surgical procedures, there were 42 (35.3%) patients with RJS and 77 (64.7%) patients without. The incidence of RJS after surgical treatment is 35.3%. Multivariate analysis showed that intra-articular fracture (OR, 1.43; 95% CI, 1.13–1.81), pre-operative severe swelling (OR, 1.35; 95% CI, 1.05–1.74), post-operative unsatisfied volar tile (OR, 1.38; 95% CI, 1.01–1.89), and improper rehabilitation exercise (OR, 1.72; 95% CI, 1.18–2.51) were correlated with the incidence of RJS during follow-up. Conclusions Patients with intra-articular fracture, pre-operative severe swelling, post-operative unsatisfied volar tile, and improper rehabilitation exercise were factors associated with the incidence of wrist stiffness. Preoperative risk notification and postoperative precautions are necessary for relevant patients.http://link.springer.com/article/10.1186/s13018-020-01857-6WristDistal radiusStiffnessPrognosisPrevalence |
| spellingShingle | Lingde Kong Yajie Zhai Zuzhuo Zhang Jian Lu Bing Zhang Dehu Tian Radiocarpal joint stiffness following surgical treatment for distal radius fractures: the incidence and associated factors Journal of Orthopaedic Surgery and Research Wrist Distal radius Stiffness Prognosis Prevalence |
| title | Radiocarpal joint stiffness following surgical treatment for distal radius fractures: the incidence and associated factors |
| title_full | Radiocarpal joint stiffness following surgical treatment for distal radius fractures: the incidence and associated factors |
| title_fullStr | Radiocarpal joint stiffness following surgical treatment for distal radius fractures: the incidence and associated factors |
| title_full_unstemmed | Radiocarpal joint stiffness following surgical treatment for distal radius fractures: the incidence and associated factors |
| title_short | Radiocarpal joint stiffness following surgical treatment for distal radius fractures: the incidence and associated factors |
| title_sort | radiocarpal joint stiffness following surgical treatment for distal radius fractures the incidence and associated factors |
| topic | Wrist Distal radius Stiffness Prognosis Prevalence |
| url | http://link.springer.com/article/10.1186/s13018-020-01857-6 |
| work_keys_str_mv | AT lingdekong radiocarpaljointstiffnessfollowingsurgicaltreatmentfordistalradiusfracturestheincidenceandassociatedfactors AT yajiezhai radiocarpaljointstiffnessfollowingsurgicaltreatmentfordistalradiusfracturestheincidenceandassociatedfactors AT zuzhuozhang radiocarpaljointstiffnessfollowingsurgicaltreatmentfordistalradiusfracturestheincidenceandassociatedfactors AT jianlu radiocarpaljointstiffnessfollowingsurgicaltreatmentfordistalradiusfracturestheincidenceandassociatedfactors AT bingzhang radiocarpaljointstiffnessfollowingsurgicaltreatmentfordistalradiusfracturestheincidenceandassociatedfactors AT dehutian radiocarpaljointstiffnessfollowingsurgicaltreatmentfordistalradiusfracturestheincidenceandassociatedfactors |