Mohammad Saeed, Muhammad Inam, Imran Khan, Alamzeb Durrani, Abdul Satar.
DISTAL RADIUS FRACTURE; Functional outcome in patients with distal radius fracture irrespective of radiological deformities.
Professional Med J Jan ;22(10):1245-9.

The objective of the study is to find out functional outcome in patients with distal radius fractures irrespective of radiographic deformities after close reduction and cast splint age. Design: Case series study. Setting: Department of Orthopedics and Spine Surgery, Hayatabad Medical Complex Peshawar. Period: May 2010 to April 2015. Materials and Methods: 28 consecutive patients of either sex with age above 40 years, having distal radius fracture. Functional outcome was assessed with disability of arm, shoulder and hand (DASH) and Patient Rated Wrist/Hand Evolution (PRWHE) questionnaire. Results: Out of 28 patients male were 12(42.9%) and female were 16(57.1%). minimum age was 40 maximum 81 and average was 50. Right side was involved in 17 (60.7%) while left side was involved in 11(39.3%). The DASH Score Record shows that no Disability was seen in 13(46.4%), Minimal Disability in 7(25%), Mild Disability in 5(17.9%), Moderate Disability in 1(3.6%) and Severe Disability in 2(7.1%) patients. While the PRWHE Score Record shows that no Disability was seen in 14(50%), Minimal Disability in 6(21.4%), Mild Disability in 5(17.9%), Moderate Disability in 1(3.6%) and Severe Disability in 2(7.1%) patients. Conclusion: A majority of the distal radius fractures can achieve good results after treatment by closed reduction and cast immobilization, for which conservative treatment should be the first choice. Deformity of the distal radius cannot affect the functional outcome of the wrist and hand.

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