Clinical outcomes comparison of distal radius fractures between two conservative treatment methods: Below-arm cast versus reverse sugar tong splint.

Autor:	Çamur S; Department of Orthopedics and Traumatology, Umraniye Education and Research Hospital, Istanbul, Turkey., Bayram S; Department of Orthopedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey. Electronic address: dr.serkanbayram89@gmail.com., Polat Ö; Department of Orthopedics and Traumatology, Umraniye Education and Research Hospital, Istanbul, Turkey., Özcan MS; Department of Orthopedics and Traumatology, Şişli Etfal Education and Research Hospital, Istanbul, Turkey., Batıbay SG; Department of Orthopedics and Traumatology, Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association [J Orthop Sci] 2021 Sep; Vol. 26 (5), pp. 804-811. Date of Electronic Publication: 2020 Sep 20.
DOI:	10.1016/j.jos.2020.08.011
Abstrakt:	Background: The purpose of this prospective randomized study was to compare a new reverse sugar tong splint technique with a below-arm cast, in terms of patient radiological and clinical outcomes. Methods: One hundred and forty patients who presented to our clinic between April 2017 and March 2019 were randomly divided into two groups: 70 received reverse sugar tong (RST group) and 70 received below arm cast (BAC group). Clinical and radiological follow-up was performed 7-10 days, three weeks, 5 or 6 weeks, 12 weeks and one year after the treatment. Clinical outcomes including wrist range of motion, complication rates, Health Assessment Questionnaire (HAQ) score at end of treatment, Disabilities of the Arm, Shoulder, and Hand (Q-DASH) questionnaire and Mayo Elbow Performance score (MEPS) score at 12 weeks and last follow-up. Results: Finally, sixty-five patients were treated with BAC, and their average age was 58.2 years and sixty-two patients with an average age of 57.4 years were treated with RST were completed the radiological and clinical one-year follow-up. There were no significant differences in range of motion, radiological parameters, the Q-DASH and MEPS scores between the groups the 12th week and last visit; however, the HAQ score was significantly higher in the cast group during the 6th visit (p < 0.001). The BAC group had a higher complication rate (40%) than the RST group (19.3%) (p = 0.01). Conclusion: Patient treated with RST had a higher functional status at end of treatment and lower complications when comparing traditional below arm cast. Level of Evidence: Level I prognostic randomized controlled trial. Competing Interests: Conflict of interest The authors declare that they have no conflict of interest. (Copyright © 2020 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.)
Databáze:	MEDLINE
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