Distal Radius

Quality of Life After Volar Plate Fixation of Articular Fractures of the Distal Part of the Radius

Gruber G, Zacherl M, Giessauf C, et al (Med Univ of Graz, Austria; District Hosp of Weiz, Austria; et al) J Bone Joint Surg Am 92:1170-1178, 2010^§

Abstract

Background

Outcome measurement following surgery is increasingly the focus of attention in current health-care debates because of the rising costs of medical care and the large variety of operative options. The purpose of the present study was to correlate quality of life after volar locked plate fixation of unstable intra-articular distal radial fractures with functional and radiographic results as well as with quality-of-life data from population norms.

Methods

Fifty-four consecutive patients with intra-articular distal radial fractures and a mean age of sixty-three years were managed with a volar locked plate system. Range of motion, grip strength, and radiographs were assessed at a mean of six years postoperatively. The wrist-scoring systems of Gartland and Werley and Castaing were adopted for the assessment of objective outcomes. The Disabilities of the Arm, Shoulder and Hand and Short Form-36 questionnaires were completed as subjective outcome measures, and the results were compared with United States and Austrian population norms.

Results

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