CORRELATION BETWEEN FUNCTIONAL OUTCOME AND ANATOMICAL OUTCOME IN DISTAL RADIUS FRACTURES TREATED WITH CLOSED REDUCTION

Authors

  • Sufyan Ali Shah Lady Reading Hospital, Peshawar, Pakistan Author
  • Muhammad Inam Lady Reading Hospital, Peshawar, Pakistan. Author

DOI:

https://doi.org/10.71000/djf7q618

Keywords:

closed reduction, Distal radius fracture, functional outcome, anatomical outcome, Gartland , Werley score, Bunger score

Abstract

Objective: To determine the correlation between functional outcome score and anatomical outcome score in distal radius fracture after close reduction..

Methodology: A cross-sectional study was conducted at the Department of Orthopedics, Lady Reading Hospital, Peshawar from 22-April-2024 to 22-October-2024. Two hundred and seventy one patients aged 20–60 years with extra-articular distal radius fractures (Frykman types I–II) were included. Closed reduction under local anesthesia was performed which was followed by dorsoradial splint immobilization. Functional outcomes were evaluated at four months using the Gartland and Werley scoring system while anatomical outcomes were assessed via the Bunger scoring system. Correlation between both scoring systems were assessed.

Results: Mean age was 51.18 ± 10.008 years. The mean functional outcome score was 10.01 ± 0.82 while the mean anatomical score was 6.00 ± 1.38. Correlation analysis exhibited a weak non-significant relationship between functional and anatomical outcomes (r = 0.06; p = 0.31).

Conclusion: A non-significant weak correlation was found between functional outcome and anatomical outcome in distal radius fractures treated with closed reduction.

Author Biographies

  • Sufyan Ali Shah, Lady Reading Hospital, Peshawar, Pakistan

    Trainee Medical Officer, Department of Orthopaedic Surgery, Lady Reading Hospital, Peshawar, Pakistan

  • Muhammad Inam, Lady Reading Hospital, Peshawar, Pakistan.

     Associate Professor, Department of Orthopaedic Surgery, Lady Reading Hospital, Peshawar, Pakistan.

References

Nasser JS, Chou CH, Chung KC. Thirty-day emergency department utilization after distal radius fracture treatment: identifying predictors and variation. Plast Reconstr Surg Glob. Open. 2019;7(9):e2416.

Orland KJ, Boissonneault A, Schwartz AM, Goel R, Bruce RW, Fletcher ND. Resource utilization for patients with distal radius fractures in a pediatric emergency department. JAMA. 2020;3(2):e1921202.

Ochen Y, Peek J, van der Velde D, Beeres FJ, van Heijl M, Groenwold RH, et al. Operative vs nonoperative treatment of distal radius fractures in adults: a systematic review and meta-analysis. JAMA. 2020;3(4):e203497.

Caldwell RA, Shorten PL, Morrell NT. Common Upper Extremity Fracture Eponyms: A Look Into What They Really Mean. J Hand Surg Am. 2019;44(4):331-334.

Jerrhag D, Englund M, Karlsson MK, Rosengren BE. Epidemiology and time trends of distal forearm fractures in adults - a study of 11.2 million person-years in Sweden. BMC Musculoskelet Disord. 2017;18(1):240.

Campochiaro G, Gazzotti G, Rebuzzi M, Tronci V, Tsatsis C, Catani F. Distal radius articular fractures: a comparison between ORIF with angular stability plate and percutaneous Kirschner wires. Acta Biomed. 2013;84(1):38-43.

Azad A, Kang HP, Alluri RK, Vakhshori V, Kay HF, Ghiassi A. Epidemiological and treatment trends of distal radius fractures across multiple age groups. J Wrist Surg. 2019;8(04):305-11

Chaudhry H, Kleinlugtenbelt YV, Mundi R, Ristevski B, Goslings JC, Bhandari M. Are volar locking plates superior to percutaneous K-wires for distal radius fractures? A meta-analysis. Clin Orthop Relat Res. 2015;473(9):3017-27.

Richtlijn Distale radiusfracturen INITIATIEF Nederlandse Vereniging voor Heelkunde. 2021. Available from: www.heelkunde.nl. Cited 2023

Handoll HHG, Madhok R. Closed reduction methods for treating distal radial fractures in adults. Cochrane Database Syst Rev. 2003;2003(1):CD003763.

Gutierrez-Monclus R, Gutierrez-Espinoza, Zavala-Gonzalez J, Olguln-Huerta C, Rubio¬Oyarztin D. Araya-Quintanilla F. Correlation between radiological parameters and functional outcomes in patients older than 60 years of age with distal radius fracture. Hand. 2019;14(6):770-5.

Arshad MA, Iqbal M, Shah MK, Rafi A, Saif MM, Khattak SK. Functional outcome of distal radius fractures in adults after conservative treatment. Prof Med J. 2024;31(6):961-966.

Jamil A, Shaikh SA , Baloch Y. Anatomical and functional outcome of conservative treatment of Colles’ fracture. J Surg Pak. 2019;24(2):89-94.

Young BT, Rayan GM. Outcome following nonoperative treat ment of displaced distal radius fractures in low-demand patients older than 60 years. J Hand Surg Am. 2000;25(1):19-28

Chang HC, Tay SC, Chan BK, et al. Conservative treatment of redisplaced Colles’ fractures in elderly patients older than 60 years old—anatomical and functional outcome. Hand Surg. 2001;6(2):137-144.

Jaremko JL, Lambert RG, Rowe BH, et al. Do radiographic indices of distal radius fracture reduction predict outcomes in older adults receiving conservative treatment? Clin Radiol. 2007;62(1):65-72.

Grewal R, MacDermid JC. The risk of adverse outcomes in extra-articular distal radius fractures is increased with malalignment in patients of all ages but mitigated in older patients. J Hand Surg Am. 2007;32(7):962-970.

Shetty VV, Dileep P, Nazeer M. Correlation of radiological parameters with functional outcomes in distal radius fractures treated surgically. Int J Orthop Sci. 2022;8(3):162-165.

Rehman F. Correlation between functional outcome and radiological parameters of healed fracture of distal radius after closed reduction. J Anat Soc India. 2014;63:S6-S12.

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Published

2025-07-01

How to Cite

1.
Shah SA, Muhammad Inam. CORRELATION BETWEEN FUNCTIONAL OUTCOME AND ANATOMICAL OUTCOME IN DISTAL RADIUS FRACTURES TREATED WITH CLOSED REDUCTION. IJHR [Internet]. 2025 Jul. 1 [cited 2025 Aug. 29];3(4 (Health and Allied):27-34. Available from: https://insightsjhr.com/index.php/home/article/view/1003