Complications and functional outcome after internal fixation of dorsally displaced distal radial fractures

Jeppe Bove, Bjarke Viberg, Pernille Wied Greisen, Jan Schultz Hansen

Research output: Contribution to conference without publisher/journalConference abstract for conferenceResearch

Abstract

Background: Recently there has been an increasing interest in open
reduction and internal fixation of distal radius fractures. Even so further
studies are still needed.
Purpose: To document the functional outcome and identify complica-
tions among patients treated with a volar locking plate (DVR-locking
plate, DePuy Orthopaedics) newly introduced in our department.
Methods: The study was designed as a historical cohort study. 37
females and 6 males with a mean (CI) age of 72,6 (69,5-75,6) were
included. 35 received 6 months follow up (median 6,4) and 30 received
1 year follow up (median 14,0). Outcome measures included the Dis-
ability of the Arm, shoulder and Hand (DASH) questionnaire, grip
strength, active wrist and forearm range of motion and radiographic
parameters.
Findings: The mean DASH score was 15,5 (10,5- 20,6) at 6 months and
6,3 (2,5-10) at 1 year. There were at 1 year statistical significant differ-
ence between the fractured and non-fractured wrist for flexion, extension
and grip strength but not for supination and pronation. X-rays showed an
improvement from preoperative to postoperative in dorsal angulation
(17,7 degrees), inclination (6,6 degrees) and radial length (4,8 mm). A
total of 10 major complications were identified: 4 had screws in the
joint, 2 tendon ruptures, 2 plates were removed, 1 carpal tunnel syn-
drome, 1 lacking radiological healing. There were no association
between major complications and the surgeons experience level (> 10
operations). Evaluation of the X-ray images showed 14 cases of too radi-
al plate placement and 1 one forgotten tower.
Conclusion: The literature describes an overall complication frequency
between 0 and 27%, with a lower frequency of secondary procedures
compared to this study. There is still a need for further studies
Original languageEnglish
Publication date27. Sep 2010
Publication statusPublished - 27. Sep 2010
EventDANSK ORTOPÆDISK SELSKABS ÅRSMØDE 2010 - KØBENHAVN, Denmark
Duration: 26. Oct 201029. Oct 2010

Conference

ConferenceDANSK ORTOPÆDISK SELSKABS ÅRSMØDE 2010
CountryDenmark
CityKØBENHAVN
Period26/10/201029/10/2010

Cite this

Bove, J., Viberg, B., Wied Greisen, P., & Hansen, J. S. (2010). Complications and functional outcome after internal fixation of dorsally displaced distal radial fractures. Abstract from DANSK ORTOPÆDISK SELSKABS ÅRSMØDE 2010, KØBENHAVN, Denmark.
Bove, Jeppe ; Viberg, Bjarke ; Wied Greisen, Pernille ; Hansen, Jan Schultz. / Complications and functional outcome after internal fixation of dorsally displaced distal radial fractures. Abstract from DANSK ORTOPÆDISK SELSKABS ÅRSMØDE 2010, KØBENHAVN, Denmark.
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title = "Complications and functional outcome after internal fixation of dorsally displaced distal radial fractures",
abstract = "Background: Recently there has been an increasing interest in openreduction and internal fixation of distal radius fractures. Even so furtherstudies are still needed.Purpose: To document the functional outcome and identify complica-tions among patients treated with a volar locking plate (DVR-lockingplate, DePuy Orthopaedics) newly introduced in our department.Methods: The study was designed as a historical cohort study. 37females and 6 males with a mean (CI) age of 72,6 (69,5-75,6) wereincluded. 35 received 6 months follow up (median 6,4) and 30 received1 year follow up (median 14,0). Outcome measures included the Dis-ability of the Arm, shoulder and Hand (DASH) questionnaire, gripstrength, active wrist and forearm range of motion and radiographicparameters.Findings: The mean DASH score was 15,5 (10,5- 20,6) at 6 months and6,3 (2,5-10) at 1 year. There were at 1 year statistical significant differ-ence between the fractured and non-fractured wrist for flexion, extensionand grip strength but not for supination and pronation. X-rays showed animprovement from preoperative to postoperative in dorsal angulation(17,7 degrees), inclination (6,6 degrees) and radial length (4,8 mm). Atotal of 10 major complications were identified: 4 had screws in thejoint, 2 tendon ruptures, 2 plates were removed, 1 carpal tunnel syn-drome, 1 lacking radiological healing. There were no associationbetween major complications and the surgeons experience level (> 10operations). Evaluation of the X-ray images showed 14 cases of too radi-al plate placement and 1 one forgotten tower.Conclusion: The literature describes an overall complication frequencybetween 0 and 27{\%}, with a lower frequency of secondary procedurescompared to this study. There is still a need for further studies",
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year = "2010",
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note = "null ; Conference date: 26-10-2010 Through 29-10-2010",

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Bove, J, Viberg, B, Wied Greisen, P & Hansen, JS 2010, 'Complications and functional outcome after internal fixation of dorsally displaced distal radial fractures', DANSK ORTOPÆDISK SELSKABS ÅRSMØDE 2010, KØBENHAVN, Denmark, 26/10/2010 - 29/10/2010.

Complications and functional outcome after internal fixation of dorsally displaced distal radial fractures. / Bove, Jeppe; Viberg, Bjarke; Wied Greisen, Pernille; Hansen, Jan Schultz.

2010. Abstract from DANSK ORTOPÆDISK SELSKABS ÅRSMØDE 2010, KØBENHAVN, Denmark.

Research output: Contribution to conference without publisher/journalConference abstract for conferenceResearch

TY - ABST

T1 - Complications and functional outcome after internal fixation of dorsally displaced distal radial fractures

AU - Bove, Jeppe

AU - Viberg, Bjarke

AU - Wied Greisen, Pernille

AU - Hansen, Jan Schultz

PY - 2010/9/27

Y1 - 2010/9/27

N2 - Background: Recently there has been an increasing interest in openreduction and internal fixation of distal radius fractures. Even so furtherstudies are still needed.Purpose: To document the functional outcome and identify complica-tions among patients treated with a volar locking plate (DVR-lockingplate, DePuy Orthopaedics) newly introduced in our department.Methods: The study was designed as a historical cohort study. 37females and 6 males with a mean (CI) age of 72,6 (69,5-75,6) wereincluded. 35 received 6 months follow up (median 6,4) and 30 received1 year follow up (median 14,0). Outcome measures included the Dis-ability of the Arm, shoulder and Hand (DASH) questionnaire, gripstrength, active wrist and forearm range of motion and radiographicparameters.Findings: The mean DASH score was 15,5 (10,5- 20,6) at 6 months and6,3 (2,5-10) at 1 year. There were at 1 year statistical significant differ-ence between the fractured and non-fractured wrist for flexion, extensionand grip strength but not for supination and pronation. X-rays showed animprovement from preoperative to postoperative in dorsal angulation(17,7 degrees), inclination (6,6 degrees) and radial length (4,8 mm). Atotal of 10 major complications were identified: 4 had screws in thejoint, 2 tendon ruptures, 2 plates were removed, 1 carpal tunnel syn-drome, 1 lacking radiological healing. There were no associationbetween major complications and the surgeons experience level (> 10operations). Evaluation of the X-ray images showed 14 cases of too radi-al plate placement and 1 one forgotten tower.Conclusion: The literature describes an overall complication frequencybetween 0 and 27%, with a lower frequency of secondary procedurescompared to this study. There is still a need for further studies

AB - Background: Recently there has been an increasing interest in openreduction and internal fixation of distal radius fractures. Even so furtherstudies are still needed.Purpose: To document the functional outcome and identify complica-tions among patients treated with a volar locking plate (DVR-lockingplate, DePuy Orthopaedics) newly introduced in our department.Methods: The study was designed as a historical cohort study. 37females and 6 males with a mean (CI) age of 72,6 (69,5-75,6) wereincluded. 35 received 6 months follow up (median 6,4) and 30 received1 year follow up (median 14,0). Outcome measures included the Dis-ability of the Arm, shoulder and Hand (DASH) questionnaire, gripstrength, active wrist and forearm range of motion and radiographicparameters.Findings: The mean DASH score was 15,5 (10,5- 20,6) at 6 months and6,3 (2,5-10) at 1 year. There were at 1 year statistical significant differ-ence between the fractured and non-fractured wrist for flexion, extensionand grip strength but not for supination and pronation. X-rays showed animprovement from preoperative to postoperative in dorsal angulation(17,7 degrees), inclination (6,6 degrees) and radial length (4,8 mm). Atotal of 10 major complications were identified: 4 had screws in thejoint, 2 tendon ruptures, 2 plates were removed, 1 carpal tunnel syn-drome, 1 lacking radiological healing. There were no associationbetween major complications and the surgeons experience level (> 10operations). Evaluation of the X-ray images showed 14 cases of too radi-al plate placement and 1 one forgotten tower.Conclusion: The literature describes an overall complication frequencybetween 0 and 27%, with a lower frequency of secondary procedurescompared to this study. There is still a need for further studies

M3 - Conference abstract for conference

ER -

Bove J, Viberg B, Wied Greisen P, Hansen JS. Complications and functional outcome after internal fixation of dorsally displaced distal radial fractures. 2010. Abstract from DANSK ORTOPÆDISK SELSKABS ÅRSMØDE 2010, KØBENHAVN, Denmark.