Article

Functional recovery after fractures of the distal forearm: Analysis of radiographic and other factors affecting the outcome

Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Annales chirurgiae et gynaecologiae 02/1988; 77(1):27-31.
Source: PubMed

ABSTRACT Functional recovery of the wrist and hand after a fracture of the distal forearm in 207 consecutive patients was analysed. A good or excellent result was achieved in 77 percent, fair in 22.5 percent and poor in 0.5 percent of cases. The result in 14 unstable fractures treated with external fixation was as good as that of the whole series. Good functional results were associated with extra-articular fractures, good anatomical results, male sex and low age. Comminuted intra-articular fractures of the radiocarpal joint, fracture line into the distal radio-ulnar joint, fracture of the ulnar styloid and a poor anatomical result in addition to high age contributed to a poor result.

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    • "Long-term outcome after Colles' fracture is often reported to be good or satisfactory and the effect of the fracture on a patient's functional activities is usually regarded as minimal (Altissimi et al. 1986, Kaukonen et al. 1988, Field et al. 1992, Kopylov et al. 1993, Warwick et a1 1993). However, some patients have substantial residual symptoms and impairment of function (Bacom and Kurtzke 1953, Cooney et al. 1980, Strange-Vognsen 1991). "
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    ABSTRACT: We retrospectively assessed hand and forearm symptoms of 652 patients with a Colles' fracture, 5 years after the fracture, using a questionnaire. The contralateral forearm, which was free of major injuries or illnesses, was used as control. Forearm and hand symptoms were common and only one quarter of the fractured forearms were completely free of symptoms at the time of review, whereas four fifths of the control forearms had no symptoms. Nearly half of the patients complained of impairment in various activities and 8% had had to give up leisure activities or make special arrangements at work. Demographic, and most of the fracture-related factors, were not associated with the symptoms. Neither AO nor Frykman's radiographic classifications of the primary fracture were of any use for predicting the clinical outcome.
    Acta Orthopaedica Scandinavica 03/1998; 69(1):77-81. DOI:10.3109/17453679809002362
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    • "Forearm fractures lead to acute pain and loss of function, but recovery is usually good. Six months after the fracture, a good or excellent result was achieved in 77% (Kaukonen et al. 1988). The total loss of QALYs was 0.02 for one year (Dolan et al. 1999). "
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