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Journal of the Korean Society for Surgery of the Hand 2005;10(1):26-31.
Published online March 1, 2005.
Functional Outcome following Nonoperative Treatment of Distal Radius Fracture in the Elderly: A Retrospective Study of Comparison between Function Scoring Devices
Duk-Seop Shin, M.D., Jae-Sung Seo, Jae-Hyeung Han, M.D., In-Hwan Kim,
고령 환자의 원위 요골 골절에서 보존적 치료 후 기능적 결과 분석: 기능 평가법의 비교에 관한 후향적 연구
신덕섭, 서재성, 한재형, 김인환
Abstract
Purpose
To analyse the functional and radiographic outcomes following conservative treatment of distal radius fracture, and to determine prognostic factors affecting functional outcome. Materials and Methods: Twenty-seven, socially low demand patients older than 60 years were retrospectively evaluated following nonoperative treatment of distal radius fracture. The mean age was 69 years. Two radiographic and five functional scoring devices were used for evaluation. Prognostic factors affecting the functional outcome were considered and statistic analysis was performed. Results: The two radiographic scoring systems revealed relatively satisfactory outcome, and an obvious correlations between two methods were found (p<0.05). The more the displacement in initial radiographs, regardless of accuracy in initial reduction, the greater displacement was noted in last follow up radiographs. All functional assessment includes subjective and objective criteria, but the functional results varied from scoring devices because each system has different significance on individual criteria. It was considered that the most important prognostic factor affecting the fuctional outcome was the volar tilt in last radiographs (p<0.05). Conclusion: Nonoperative treatment of distal radius fracture in the elderly yields relatively satisfactory outcome, and anatomical reduction is important for better functional outcomes. It also is noted that new function scoring device sufficiently representing personal satisfaction is needed.
 


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