DISTAL RADIUS FRACTURE

Abstract

Objectives: The objective of the study is to find out functional outcome inpatients with distal radius fractures irrespective of radiographic deformities after close reductionand cast splint age. Design: Case series study. Setting: Department of Orthopedics and SpineSurgery, Hayatabad Medical Complex Peshawar. Period: May 2010 to April 2015. Materialsand Methods: 28 consecutive patients of either sex with age above 40 years, having distalradius fracture. Functional outcome was assessed with disability of arm, shoulder and hand(DASH) and Patient Rated Wrist/Hand Evolution (PRWHE) questionnaire. Results: Out of 28patients male were 12(42.9%) and female were 16(57.1%). minimum age was 40 maximum81 and average was 50. Right side was involved in 17 (60.7%) while left side was involved in11(39.3%). The DASH Score Record shows that no Disability was seen in 13(46.4%), MinimalDisability in 7(25%), Mild Disability in 5(17.9%), Moderate Disability in 1(3.6%) and SevereDisability in 2(7.1%) patients. While the PRWHE Score Record shows that no Disability wasseen in 14(50%), Minimal Disability in 6(21.4%), Mild Disability in 5(17.9%), Moderate Disabilityin 1(3.6%) and Severe Disability in 2(7.1%) patients. Conclusion: A majority of the distal radiusfractures can achieve good results after treatment by closed reduction and cast immobilization,for which conservative treatment should be the first choice. Deformity of the distal radius cannotaffect the functional outcome of the wrist and hand.