Radius Fracture Distal
Conditions
Keywords
distal radius fracture, sigmoid notch
Brief summary
To study the effects of ulnar styloid and sigmoid notch fractures on postoperative wrist function in patients with distal radius fracture
Detailed description
Patients treated for distal radius fracture in the Department of Orthopedic Trauma at the People's Hospital of Peking University will be selected for outpatient follow-up. Evaluation was based on Sartiento's modification of the Gartland and Werley score. Efficacy was assessed with wrist pain as the focus.The follow-up time is one year after the operation。
Interventions
The volar approach was used for open reduction and internal fixation of distal radius fractures
Sponsors
Study design
Eligibility
Inclusion criteria
1. unilateral distal radius fracture with or without ulnar styloid fracture, closed fracture 2. distal radius fracture repaired by internal fixation using a palmar plate 3. age of ≥18 years 4. integral clinical data, a postoperative follow-up period of ≥12 months 5. distal radius fracture with normal union 6. provision of informed consent after receiving an explanation of the purpose of this study
Exclusion criteria
1. old fracture, pathological fracture, open fracture 2. bilateral distal radius fracture 3. fracture of other parts of the wrist (excluding the ulnar styloid)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sartiento's modification of the Gartland and Werley score | 1 year after surgery | Sartiento's modification of the Gartland and Werley score included evaluation of residual deformity, subjective evaluation of pain, objective evaluation of range of wrist motion and grip strength, and evaluation of complications of arthritis, neurological symptoms, and finger dysfunction. Efficacy was judged as excellent, good, fair, or poor, and the sum of the above scores was calculated (excellent, 0-2 points; good, 3-8 points; fair, 9-20 points; and poor, ≥21 points) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ulnar wrist pain(VAS score) | 1 year after surgery | Evaluation of ulnar wrist pain based on VAS score.Visual Analogue Scale/Score:A cross line of 10 cm on the paper, 0 at one end of the horizontal line, is painless; the other end is 10, indicating a sharp pain; the middle part indicates a different degree of pain. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Union rate of ulnar styloid fracture | 1 year after surgery | Union rate of ulnar styloid fracture:The fracture line of the ulnar styloid process disappeared, the fracture healed well, there was no obvious pain in the wrist and no abnormal activity. |