Distal radiusFifteen-Year Outcome of Displaced Intra-Articular Fractures of the Distal Radius
Section snippets
Materials and Methods
This investigation was a retrospective re-evaluation of 16 patients from an original cohort of 21 patients; the original results were published in 1997.1 Five of those patients were not included in this investigation: 4 could not be located (despite an extensive search including medical records, Internet, and a private investigator) and 1, who lived out of state, would not participate despite several requests. All patients had been treated at a single institution with open reduction and
Results
The average MFA score was 10 (SD, 9.2; range, 0–28). These data were compared with published normal data (mean, 9.3; SD, 8.9) and no difference was noted between the total scores or any of the subcategory scores (p = .66).2 The HFS showed that 9 of the 11 males and all of the females (n = 5) functioned at the heavy physical demand level with scores at the 80th percentile or higher compared with normal patients. These 14 patients showed broad functional capacity with no areas of limitation. The
Discussion
This investigation evaluated patients longitudinally at intermediate- and long-term follow-up periods and documented the progression of joint arthrosis by CT scan. By documenting the presence of arthrosis in the original investigation and confirming its advancement in the same patient cohort 8 years later we have confirmed and expanded on the known correlation between residual articular displacement and joint arthrosis.1, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 The arthrosis that is
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