論文

国際誌
2020年9月

Evaluation of Patient-Reported and Clinician-Reported Outcomes of Volar Locking Plate Fixation for Distal Radius Fractures.

The journal of hand surgery Asian-Pacific volume
  • Nana Nagura
  • ,
  • Kiyohito Naito
  • ,
  • Yoichi Sugiyama
  • ,
  • Hiroyuki Obata
  • ,
  • Kenji Goto
  • ,
  • Ayaka Kaneko
  • ,
  • So Kawakita
  • ,
  • Kazuo Kaneko

25
3
開始ページ
359
終了ページ
363
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1142/S2424835520500411

Background: Postoperative evaluation of wrist joint trauma is divided into patient-reported outcomes (PROs) and clinician-reported outcomes (CROs). We investigated the association of the Q-DASH score as the postoperative PROs and the Mayo wrist score as the postoperative CROs with clinical evaluation in patients with distal radius fractures surgically treated using a volar locking plate (VLP). Moreover, whether PROs and CROs are correlated to the clinical evaluation was investigated. Methods: The subjects were 109 patients surgically treated for distal radius fractures at our hospital between June 2013 and May 2017. Forty-one patients were male, 68 patients were female, and the mean age was 61.4 (19-86) years old. The fracture type was AO classification A type in 30 patients (A2: 25, A3: 5), B type in 5 (B2: 1, B3: 4), and C type in 74 (C1: 50, C2: 11, C3: 13). All patients were surgically treated using VLP. The range of motion of the wrist, grip strength the Visual Analog Scale (VAS), the Q-DASH score (PROs), and the Mayo wrist score (CROs) were investigated. Each evaluation was compared as the clinical outcome between at 3 months after surgery and the final follow-up. In addition, the correlations of the postoperative PROs and CROs with the clinical evaluation were analyzed. Results: Each evaluation was significantly improved compared with that at 3 months after surgery. There was a significant correlation between PROs and CROs at 3 months after surgery and the final follow-up. However, the range of motion of the wrists was not significantly correlated with PROs or CROs at 3 months after surgery or at the final follow-up. Conclusions: On evaluation after surgery for distal radius fractures, PROs and CROs improved early after surgery (3 months after surgery) before the final follow-up, and an inverse correlation was present between these scores.

リンク情報
DOI
https://doi.org/10.1142/S2424835520500411
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32723039
ID情報
  • DOI : 10.1142/S2424835520500411
  • PubMed ID : 32723039

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