Comparison of Upper Limb Function after Management of Intraarticular Distal Radius Metaphyseal Fracture between Operative and Non-Operative Procedure with Clinical Assessment of the QuickDASH Score

Abstract

Introduction: Distal radius fracture is the most common fracture in an orthopedic emergency involving the upper limb. Management of patients with distal radius metaphyseal fractures greatly affects the function of the upper limb during recovery. Then the right choice of type of procedure will affect the function of the upper limb. This study aimed to compare the function of the upper limb in intraarticular distal radius metaphyseal fracture between operative and non-operative procedures with the clinical assessment of the QuickDASH score at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia.
 Methods: This study was an analytic observational study with a retrospective cohort approach. A total of 55 research subjects consisting of 38 subjects belonging to the operative group and 17 subjects belonging to the non-operative group, participated in this study. Data analysis was carried out using univariate and bivariate to find out the differences between operative and non-operative procedures related to post-fracture upper limb performance.
 Results: Operative procedure are proven to improve upper limb performance better than non-operative procedure based on the QuickDASH score. Operative procedures provide improved upper limb performance 2.65 times better than non-operative procedure.
 Conclusion: Operative procedure that are better in maintaining upper limb performance after intraarticular radius distal metaphyseal fractures based on the QuickDASH score compared to non-operative procedure at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia.