Patient-reported outcomes after a distal radius fracture in adults: a 3-4 years follow-up.

Autor: van Leerdam RH; a Department of Surgery , Leiden University Medical Center (LUMC) , The Netherlands., Huizing F; a Department of Surgery , Leiden University Medical Center (LUMC) , The Netherlands., Termaat F; a Department of Surgery , Leiden University Medical Center (LUMC) , The Netherlands., Kleinveld S; b Department of Surgery , Haga Hospital , The Netherlands ;, Rhemrev SJ; c Department of Surgery , The Hague Medical Center (HMC) , The Netherlands., Krijnen P; a Department of Surgery , Leiden University Medical Center (LUMC) , The Netherlands., Schipper IB; a Department of Surgery , Leiden University Medical Center (LUMC) , The Netherlands.
Jazyk: angličtina
Zdroj: Acta orthopaedica [Acta Orthop] 2019 Apr; Vol. 90 (2), pp. 129-134. Date of Electronic Publication: 2019 Jan 23.
DOI: 10.1080/17453674.2019.1568098
Abstrakt: Background and purpose - There are few reports on the outcome of distal radius fractures after 1 year. Therefore we investigated the long-term patient-reported functional outcome and health-related quality of life after a distal radius fracture in adults. Patients and methods - We reviewed 823 patients, treated either nonoperatively or operatively in 2012. After a mean follow-up of 3.8 years 285 patients (35%) completed the Patient-Rated Wrist Evaluation (PRWE) and EuroQol-5D. Results - The mean PRWE score was 11. The mean EQ-5D index value was 0.88 and the mean EQ VAS for self-rated health status was 80. Nonoperatively treated type A and type B fractures had lower PRWE scores compared with operatively treated patients, whereas the EQ-5D was similar between groups. The EQ VAS for patients aged 65 and older was statistically significantly lower than that of younger patients. Interpretation - Patients had a good overall long-term functional outcome after a distal radius fracture. Patients with fractures that were possible to treat nonoperatively had less pain and better wrist function after long-term follow-up than patients who needed surgical fixation.
Databáze: MEDLINE
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