Posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 years
Abstract Recent studies have shown that distal radius fractures (DRFs) in elderly patients can be treated nonoperatively with good functional results after 1 year. However, scientific evidence regarding longer follow-up to assess posttraumatic arthritis (PA), complications, and functional outcomes i...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-11-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-48630-3 |
| _version_ | 1797415361766752256 |
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| author | Rikke Thorninger Karen Larsen Romme Daniel Wæver Martin Bille Henriksen Michael Tjørnild Martin Lind Jan Duedal Rölfing |
| author_facet | Rikke Thorninger Karen Larsen Romme Daniel Wæver Martin Bille Henriksen Michael Tjørnild Martin Lind Jan Duedal Rölfing |
| author_sort | Rikke Thorninger |
| collection | DOAJ |
| description | Abstract Recent studies have shown that distal radius fractures (DRFs) in elderly patients can be treated nonoperatively with good functional results after 1 year. However, scientific evidence regarding longer follow-up to assess posttraumatic arthritis (PA), complications, and functional outcomes is scarce. This prospective case series aimed to evaluate these outcomes in a cohort of patients ≥ 65-year-old with nonoperatively treated DRFs after a minimum of 3 years. The primary outcome was PA. Secondary outcomes were complications, Quick Disabilities of the Arm, Shoulder and Hand Outcome Measure (QuickDASH), Patient-Rated Wrist/Hand Evaluation (PRWHE), pain, range of motion and grip strength. The full data of 32 patients with a mean follow-up of 3.3 years were available: 10/32 patients had radiological signs of PA, but only 2 of these patients reported pain. A total of 11/32 fractures healed in malunion (> 10° dorsal angulation). There was no significant difference in QuickDASH or PRWHE from 1 year to the latest follow-up after more than 3 years. This study thus adds to the literature stating that radiological signs, including PA and malunion, do not necessarily result in symptoms. Moreover, it underpins that nonoperative treatment of these patients results in good functional outcomes after 1 and 3 years. |
| first_indexed | 2024-03-09T05:46:31Z |
| format | Article |
| id | doaj.art-ca566bb7b0524a37a454c04297443460 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-09T05:46:31Z |
| publishDate | 2023-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-ca566bb7b0524a37a454c042974434602023-12-03T12:20:59ZengNature PortfolioScientific Reports2045-23222023-11-011311810.1038/s41598-023-48630-3Posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 yearsRikke Thorninger0Karen Larsen Romme1Daniel Wæver2Martin Bille Henriksen3Michael Tjørnild4Martin Lind5Jan Duedal Rölfing6Department of Orthopaedics, Regional Hospital RandersDepartment of Orthopaedics, Regional Hospital RandersDepartment of Orthopaedics, Regional Hospital RandersDepartment of Orthopaedics, Regional Hospital RandersDepartment of Orthopaedics, Regional Hospital RandersDepartment of Clinical Medicine, HEALTH, Aarhus UniversityDepartment of Clinical Medicine, HEALTH, Aarhus UniversityAbstract Recent studies have shown that distal radius fractures (DRFs) in elderly patients can be treated nonoperatively with good functional results after 1 year. However, scientific evidence regarding longer follow-up to assess posttraumatic arthritis (PA), complications, and functional outcomes is scarce. This prospective case series aimed to evaluate these outcomes in a cohort of patients ≥ 65-year-old with nonoperatively treated DRFs after a minimum of 3 years. The primary outcome was PA. Secondary outcomes were complications, Quick Disabilities of the Arm, Shoulder and Hand Outcome Measure (QuickDASH), Patient-Rated Wrist/Hand Evaluation (PRWHE), pain, range of motion and grip strength. The full data of 32 patients with a mean follow-up of 3.3 years were available: 10/32 patients had radiological signs of PA, but only 2 of these patients reported pain. A total of 11/32 fractures healed in malunion (> 10° dorsal angulation). There was no significant difference in QuickDASH or PRWHE from 1 year to the latest follow-up after more than 3 years. This study thus adds to the literature stating that radiological signs, including PA and malunion, do not necessarily result in symptoms. Moreover, it underpins that nonoperative treatment of these patients results in good functional outcomes after 1 and 3 years.https://doi.org/10.1038/s41598-023-48630-3 |
| spellingShingle | Rikke Thorninger Karen Larsen Romme Daniel Wæver Martin Bille Henriksen Michael Tjørnild Martin Lind Jan Duedal Rölfing Posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 years Scientific Reports |
| title | Posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 years |
| title_full | Posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 years |
| title_fullStr | Posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 years |
| title_full_unstemmed | Posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 years |
| title_short | Posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 years |
| title_sort | posttraumatic arthritis and functional outcomes of nonoperatively treated distal radius fractures after 3 years |
| url | https://doi.org/10.1038/s41598-023-48630-3 |
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