A COMPARISON BETWEEN PATIENT BASED OUTCOME SCORE AND MODERATE RADIAL SHORTENING FOLLOWING A FRACTURED DISTAL RADIUS IN PATIENTS OVER 55.

Abstract

Introduction: Radial shortening has been associated with a poor functional outcome following a fractured distal radius. Traditionally, outcome has been measured using doctor-based scores such as the Gartland and Werley Scoring System or modifications thereof.

Aims: The aim of this study is to compare patient based outcome scores with the Frykman class of the fracture and radial shortening both at injury and fracture union.

Methods: We followed up 60 patients over 55 who underwent closed reduction and k-wire fixation of distal radial fractures. Outcome was recorded by the Patient Rated Wrist Evaluation (PRWE) score, a validated subjective outcome measure.

Results: No association was found between radial shortening either at injury or fracture union with subjective outcome score but there was a significant association between Frykman Classification and outcome (p< 0.05).

Discussion: Our results showed that for distal radius fractures that united with a moderate degree of radial shortening, increasing Frykman Class was associated with a worse functional score.