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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2023, Number 4

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Ortho-tips 2023; 19 (4)

Relationship between satisfaction and functional outcome of people with distal radius fractures managed with an anatomical plate

Gaytán MCM, Martínez LC, Aguilar CF, Baca DCR, Pérez RMD, Enríquez SLB

Language: Spanish
References: 21
Page: 206-213
PDF size: 185.45 Kb.


ABSTRACT

Introduction: the incidence of distal radius fractures (DRF) is high, it is a complex injury and its prognosis depends on the type of fracture, treatment and the quality of the reduction. Objective: to know the relationship that exists between the post-surgical functional results and the satisfaction of the patient with FRD. Material and methods: cross-sectional, analytical study (n = 57) in which patients with RFD treated surgically with anatomical plate on the volar face were included. The following were analyzed: patient satisfaction through the question: would you choose the same treatment again? and the functional results through arcometry and grip strength. Results: in the arcometry obtained in the patients who opted for the same treatment, the mean flexion was 80.40° ± 6.43°, extension 64.27° ± 5.4°, ulnar deviation 28.24° ± 4.52°, radial deviation 14.73° ± 4.64°, pronation 87.02° ± 3.08° and supination 85.06° ± 4.41°. In the grip strength on the healthy side, a mean of 36.38 ± 15.59 kg (95% CI 32.32-40.44) was obtained and on the side with FRD a mean of 30.99 ± 15.04 kg (95% CI 27.07- 34.90), a difference between the two sides of 5.47 kg. In relation to satisfaction, in the patients who would choose the same treatment again, the domains in the Michigan Hand Outcome Questionnaire (MHOQ) with statistical difference were: daily life activity with both hands (p = 0.01), pain in the left hand (p = 0.02), satisfaction with the left hand (p = 0.03), in the total scores with the right hand (p = 0.05) and left (p = 0.00). Conclusions: a 10% difference in grip strength between the fractured and non-fractured limb is associated with greater patient satisfaction. The time for the assessment of the function begins to be more reliable the following year.


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EVIDENCE LEVEL

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