Does operative fixation of isolated fractures of ulna shaft results in different outcomes than non-operative management by long arm cast?
Autor: | Deep Sharma, Altaf Hussain, Sandeep Nema, Gopisankar Balaji, Sujiv Akkilagunta |
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Rok vydání: | 2018 |
Předmět: |
Orthodontics
030222 orthopedics business.industry medicine.medical_treatment Elbow Ulna Ulnar Shaft Wrist Upper Limb body regions 03 medical and health sciences Grip strength 0302 clinical medicine medicine.anatomical_structure medicine Internal fixation Orthopedics and Sports Medicine 030212 general & internal medicine Range of motion business Ulna Fractures |
Zdroj: | Journal of Clinical Orthopaedics and Trauma. 9:S86-S91 |
ISSN: | 0976-5662 |
Popis: | Objective The optimal treatment for isolated fractures of ulnar shaft is debatable. The purpose of this study was to compare functional outcomes and radiological union in patients treated for isolated fractures of the ulnar shaft by open reduction and internal fixation and a long arm cast. Methods This prospective study was conducted at level I trauma center from November 2014 to March 2016. 30 patients with isolated fractures of ulnar shaft were randomized to two groups to receive treatment by open reduction and internal fixation by plates and screws and a long arm cast. Outcome assessment was done by Disabilities of Arm Shoulder and Hand (DASH) score, range of motion at wrist and elbow, grip strength and radiological union. Quantitative variables were summarized Mean or Median. Normality was assessed using Kolmogorov-Smirnov test. Independent samples t-test and Mann-Whitney test were used for normally distributed variables and non-normally distributed variables respectively. Categorical variables were summarized as proportions. Effect of the intervention for categorical variables was assessed using Chi-square test Results There was no difference between the groups for pain on Visual Analogue Scale (VAS), grip strength, DASH score, and union at the end of 12 months. There was no difference between the groups for range of motion at the elbow and wrist. 12 (85.7%) patients in the ORIF group and 15 (93.7%) in the cast group united at the end of 12 months. The mean time to union was 13 weeks in the ORIF group and 18 weeks in the cast group. Conclusion Open reduction and internal fixation results in anatomical restoration of ulna, but this does not translates to better functional outcomes in short term (12 months). |
Databáze: | OpenAIRE |
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