Quick-DASH as a main early outcome of humeral shaft fractures: A Latin American multicenter prospective study

Autor: William Dias Belangero, Carlos Miguel Zublin, Renny Augusto Cardenas Quintero, Fabio Alfonso Suarez Romero, Hélio Jorge Alvachian Fernandes, Sergio Nicolas Martinez Siekavizza, Guillermo Francisco Sánchez Rosenberg, Matheus Lemos Azi, Igor Escalante Elguezaba, Gerardo Badell, Guilherme Mouraria, Kodi Edson Kojima, Miguel Triana, Jose Antonio Prieto Mere, Manuel Jose Malaret Baldo, José Ricardo Lenzi Mariolani
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Orthopaedic Surgery, Vol 28 (2020)
Druh dokumentu: article
ISSN: 2309-4990
23094990
28402324
DOI: 10.1177/2309499020929436
Popis: Purpose: The main objective of this study was to evaluate the Quick-Disabilities of the Arm, Shoulder and Hand Score (DASH) score as the main early (90 days) outcome in a prospective multicenter observational Latin American study on isolated humeral shaft fractures. Methods: From December 2015 to April 2017, in six Latin American countries, patients 18 years or older with a closed, isolated nonpathological 12A, 12B, or 12C AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) fractures were included. The 90 (±10)-day Quick-DASH score was used to compare the results of the different treatments. The secondary outcomes were patient treatment satisfaction, shoulder and elbow range of motion, and radiographic evaluation. Results: A total of 92 patients successfully completed the Quick-DASH questionnaire. Surgical treatments resulted in better outcomes than nonsurgical treatment, but only minimally invasive plate osteosynthesis produced significantly lower Quick-DASH scores than nonsurgical treatment ( p < 0.05). There were strong correlations between patient self-evaluation and the Quick-DASH score ( p < 0.0005) but not between the Quick-DASH score and radiographic fracture healing. No significant difference was found between the treatments regarding the rate of return to work, but the medical center had a significant influence on treatment choice ( p < 0.0005). Conclusion: The high correlation between Quick-DASH score and patient satisfaction and functional outcome indicates that the Quick-DASH questionnaire is a suitable tool for evaluating adult humeral shaft fracture outcomes. Patients with a Quick-DASH score below 15 could be considered recovered, and patients with a Quick-DASH score above 40 could be considered not yet recovered. Quick-DASH scores were not significantly associated with radiographic fracture healing.
Databáze: Directory of Open Access Journals
Externí odkaz: