Evaluation of a treatment protocol in distal radius fractures: a prospective study in 581 patients using DASH as outcome.

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Abramo, AntonioLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine (författare)

Evaluation of a treatment protocol in distal radius fractures: a prospective study in 581 patients using DASH as outcome.

Artikel/kapitelEngelska2008

Förlag, utgivningsår, omfång ...

2009-07-08
Medical Journals Sweden AB,2008

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LIBRIS-ID:oai:lup.lub.lu.se:73ff52e2-60c5-447e-ad13-362758e05009
https://lup.lub.lu.se/record/1181219URI
https://doi.org/10.1080/17453670710015283DOI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype
Ämneskategori:ref swepub-contenttype

Anmärkningar

BACKGROUND AND PURPOSE: Distal radius fractures are most often treated nonoperatively, but sometimes they are treated surgically when deemed unstable. Based on the literature, a consensus protocol for treatment has been developed in southern Sweden to aid clinicians in their decision making. We evaluated the results of this protocol prospectively using a validated outcome instrument (DASH) in a large consecutive and population based series of unselected patients. METHODS: 581 patients were treated according the protocol. Age, sex, fracture side, and type of treatment were registered. The subjective outcome was measured by DASH. 133 patients were operated. RESULTS: 75% of the patients returned the questionnaire. The median DASH score at 3 months was 18.3 and at 12 months it was 7.5. All treatment groups had low DASH scores at the final follow-up. Reduced, nonoperated fractures had a worse score (11.6) than undisplaced (4.2) or operated fractures (6.0). Age was the only other predictor, with older patients having a worse score. A correlation was found between the short-version 11-item QuickDASH questionnaire and the full 30-item DASH, both at 3 months (r = 0.98) and at 1 year (r = 0.97) (p< 0.001 for both). INTERPRETATION: Most patients have residual symptoms at 3 months after the fracture but are normalized at 1 year. Good final subjective result was achieved with the proposed protocol regardless of initial severity and treatment of the fracture, as indicated by a low median DASH score in all groups. There was correlation between QuickDASH and the full DASH, and the former could be used in future studies.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
Fractures
Malunited: surgery
Fracture Fixation: methods
Malunited: therapy
Ununited: surgery
Ununited: therapy
Radius Fractures: therapy
Radius Fractures: surgery

Biuppslag (personer, institutioner, konferenser, titlar ...)

Kopylov, PhilippeLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)ort-pko (författare)
Tägil, MagnusLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)ort-mta (författare)
Ortopedi, LundSektion III (creator_code:org_t)

Sammanhörande titlar

Ingår i:Acta Orthopaedica: Medical Journals Sweden AB79:3, s. 376-3851745-36821745-3674

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Av författaren/redakt...: Abramo, Antonio; Kopylov, Philipp ...; Tägil, Magnus

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

Artiklar i publikationen: Acta Orthopaedic ...

Av lärosätet: Lunds universitet

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