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External or internal fixation in the treatment of non-reducible distal radial fractures? A 5-year follow-up of a randomized study involving 50 patients

Landgren, Marcus LU ; Jerrhag, Daniel; Tägil, Magnus LU ; Kopylov, Philippe LU ; Geijer, Mats LU and Abramo, Antonio LU (2011) In Acta Orthopaedica 82(5). p.610-613
Abstract
Background and purpose We have previously shown in a randomized study that in the first year after treatment, open reduction and internal fixation resulted in better grip strength and forearm rotation than closed reduction and bridging external fixation. In the present study, we investigated whether this difference persists over time. Patients and methods The 50 patients included in the original study (mean age 53 years, 36 women) were sent a QuickDASH questionnaire and an invitation to a radiographic and clinical examination after a mean of 5 (3-7) years. Results All 50 patients returned the QuickDASH questionnaire and 45 participated in the clinical and radiographic examination. In the internal fixation group, the grip strength was 95%... (More)
Background and purpose We have previously shown in a randomized study that in the first year after treatment, open reduction and internal fixation resulted in better grip strength and forearm rotation than closed reduction and bridging external fixation. In the present study, we investigated whether this difference persists over time. Patients and methods The 50 patients included in the original study (mean age 53 years, 36 women) were sent a QuickDASH questionnaire and an invitation to a radiographic and clinical examination after a mean of 5 (3-7) years. Results All 50 patients returned the QuickDASH questionnaire and 45 participated in the clinical and radiographic examination. In the internal fixation group, the grip strength was 95% (SD 12) of the uninjured side and in the external fixation group it was 90% (SD 21) of the uninjured side (p = 0.3). QuickDASH score, range of motion, and radiographic parameters were similar between the groups. Interpretation The difference originally found between internal and external fixation in distal radial fractures at 1 year regarding grip strength and range of motion was found to diminish with time. At 5 years, both groups had approached normal values. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
82
issue
5
pages
610 - 613
publisher
Taylor & Francis
external identifiers
  • wos:000295981700013
  • scopus:80054085104
ISSN
1745-3682
DOI
10.3109/17453674.2011.618910
language
English
LU publication?
yes
id
76f798d8-265f-4f15-852e-62be2af13eb4 (old id 2212165)
date added to LUP
2011-12-01 08:35:41
date last changed
2017-01-01 05:29:24
@article{76f798d8-265f-4f15-852e-62be2af13eb4,
  abstract     = {Background and purpose We have previously shown in a randomized study that in the first year after treatment, open reduction and internal fixation resulted in better grip strength and forearm rotation than closed reduction and bridging external fixation. In the present study, we investigated whether this difference persists over time. Patients and methods The 50 patients included in the original study (mean age 53 years, 36 women) were sent a QuickDASH questionnaire and an invitation to a radiographic and clinical examination after a mean of 5 (3-7) years. Results All 50 patients returned the QuickDASH questionnaire and 45 participated in the clinical and radiographic examination. In the internal fixation group, the grip strength was 95% (SD 12) of the uninjured side and in the external fixation group it was 90% (SD 21) of the uninjured side (p = 0.3). QuickDASH score, range of motion, and radiographic parameters were similar between the groups. Interpretation The difference originally found between internal and external fixation in distal radial fractures at 1 year regarding grip strength and range of motion was found to diminish with time. At 5 years, both groups had approached normal values.},
  author       = {Landgren, Marcus and Jerrhag, Daniel and Tägil, Magnus and Kopylov, Philippe and Geijer, Mats and Abramo, Antonio},
  issn         = {1745-3682},
  language     = {eng},
  number       = {5},
  pages        = {610--613},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica},
  title        = {External or internal fixation in the treatment of non-reducible distal radial fractures? A 5-year follow-up of a randomized study involving 50 patients},
  url          = {http://dx.doi.org/10.3109/17453674.2011.618910},
  volume       = {82},
  year         = {2011},
}