Corrélation entre les données radiographiques et le résultat clinique des fractures du radius distal chez les patients âgés - 21/07/15

The relationship between radiographic parameters and clinical outcome of distal radius fractures in elderly patients

Doi : 10.1016/j.rcot.2015.04.008

L. Cai ^a, S. Zhu ^a, S. Du ^b, W. Lin ^c, T. Wang ^a, D. Lu ^a, H. Chen ^a,^⁎
^a Department of Orthopaedic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, 325000 Wenzhou, China
^b Department of Orthopaedic Surgery, The First Affiliated Hospital of Wenzhou Medical University, 325000 Wenzhou, China
^c Department of Radiology, The Second Affiliated Hospital of Wenzhou Medical University, 325000 Wenzhou, China

^⁎Auteur correspondant.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Tuesday 21 July 2015
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Abstract

Purpose of the study

Treatment of distal radius fractures in elderly patients is controversial. This study explored the relationship between radiographic parameters and clinical outcomes of patients with distal radius fractures following conservative treatment. The study was done using radiographic measurements of distal radius fractures in elderly patients.

Patients and methods

Ninety-two active, healthy patients with conservatively managed distal radius fractures were included in the study. Functional and radiographic assessments were made 1 year after injury. Fifty patients who underwent corrective osteotomy comprised the control group. Radiographic parameters and clinical outcomes were compared between the two groups. The correlation coefficients of the radiographic parameters were analysed using multiple regression.

Result

Radius height (RH), volar tilt (VT) and Mayo wrist and disabilities of the arm, shoulder and hand (DASH) scores in the experimental group were significantly superior to those of the control group. There was no significant group difference in radial inclination. Multiple regression analysis revealed that the most important factor affecting functional outcome was RH, followed by VT.

Discussion

RH and VT were significantly correlated with the clinical outcomes of conservative treatment of distal radius fractures. RH should be given foremost consideration in elderly patients. Preoperatively, surgeons should evaluate this parameter carefully and be prepared to treat injuries accordingly.

Level of evidence

Level IV, retrospective study.

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Keywords : Distal radius fractures, Radius height, Radiographic parameters, Elderly patients, Conservative treatment

☆	Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus.