Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan

Introduction: This is a cross-sectional study of 37 patients with AO type C (complete intra-articular) fractures of the distal radius, evaluating the functional, anatomical, and patient rated outcomes one year after primary fixation with a volar locking plate. Methods: Functional outcomes were asses...

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Main Authors: Hassan, Mohd Sallehuddin, Zakaria@Mohamad, Zamzuri, Sharifudin, Mohd Ariff, Awang, Mohd Shukrimi, Mohamed Amin, Mohamed Azril, Mohd Yusof, Nazri
Format: Article
Language:English
English
Published: Faculty of Medicine, International Islamic University Malaysia 2014
Subjects:
Online Access:http://irep.iium.edu.my/39468/
http://irep.iium.edu.my/39468/
http://irep.iium.edu.my/39468/1/39468_Primary%20fixation%20of%20AO%20type-C%20fracture.pdf
http://irep.iium.edu.my/39468/2/39468_Primary%20fixation%20of%20AO%20type-C%20fracture_SCOPUS.pdf
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spelling iium-394682017-09-19T08:12:21Z http://irep.iium.edu.my/39468/ Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan Hassan, Mohd Sallehuddin Zakaria@Mohamad, Zamzuri Sharifudin, Mohd Ariff Awang, Mohd Shukrimi Mohamed Amin, Mohamed Azril Mohd Yusof, Nazri RD701 Orthopedics RD92 Wounds and injuries Introduction: This is a cross-sectional study of 37 patients with AO type C (complete intra-articular) fractures of the distal radius, evaluating the functional, anatomical, and patient rated outcomes one year after primary fixation with a volar locking plate. Methods: Functional outcomes were assessed based on the grip strength, and the range of motion of forearm and wrist. Anatomical outcomes were assessed based on the radial inclination, radial height, volar tilt, and articular step or gap. Patient rated outcome was measured with a Disability of arm, shoulder and hand (DASH) questionnaire. Results: One year after surgery, 24 (64%) patients achieved good and excellent anatomical results, and DASH scores were acceptable in 73% of patients. Most of the patients had achieved 80% of their grip strength. The mean DASH score of 12.3 was comparable with other studies. Grip strength, radial inclination and volar tilt had a significant correlation with the DASH score. Conclusion: Volar locking plates can be used to achieve optimal reduction in all three parameters in the treatment of AO type C fractures of the distal radius. Versatile fracture fragment reduction and angular stability enable rehabilitation hence obtaining good functional outcomes. Faculty of Medicine, International Islamic University Malaysia 2014-12-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/39468/1/39468_Primary%20fixation%20of%20AO%20type-C%20fracture.pdf application/pdf en http://irep.iium.edu.my/39468/2/39468_Primary%20fixation%20of%20AO%20type-C%20fracture_SCOPUS.pdf Hassan, Mohd Sallehuddin and Zakaria@Mohamad, Zamzuri and Sharifudin, Mohd Ariff and Awang, Mohd Shukrimi and Mohamed Amin, Mohamed Azril and Mohd Yusof, Nazri (2014) Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan. The International Medical Journal Malaysia, 13 (2). pp. 3-6. ISSN 1823-4631 http://journals.iium.edu.my/imjm/index.php/eimj/article/view/192
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RD701 Orthopedics
RD92 Wounds and injuries
spellingShingle RD701 Orthopedics
RD92 Wounds and injuries
Hassan, Mohd Sallehuddin
Zakaria@Mohamad, Zamzuri
Sharifudin, Mohd Ariff
Awang, Mohd Shukrimi
Mohamed Amin, Mohamed Azril
Mohd Yusof, Nazri
Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan
description Introduction: This is a cross-sectional study of 37 patients with AO type C (complete intra-articular) fractures of the distal radius, evaluating the functional, anatomical, and patient rated outcomes one year after primary fixation with a volar locking plate. Methods: Functional outcomes were assessed based on the grip strength, and the range of motion of forearm and wrist. Anatomical outcomes were assessed based on the radial inclination, radial height, volar tilt, and articular step or gap. Patient rated outcome was measured with a Disability of arm, shoulder and hand (DASH) questionnaire. Results: One year after surgery, 24 (64%) patients achieved good and excellent anatomical results, and DASH scores were acceptable in 73% of patients. Most of the patients had achieved 80% of their grip strength. The mean DASH score of 12.3 was comparable with other studies. Grip strength, radial inclination and volar tilt had a significant correlation with the DASH score. Conclusion: Volar locking plates can be used to achieve optimal reduction in all three parameters in the treatment of AO type C fractures of the distal radius. Versatile fracture fragment reduction and angular stability enable rehabilitation hence obtaining good functional outcomes.
format Article
author Hassan, Mohd Sallehuddin
Zakaria@Mohamad, Zamzuri
Sharifudin, Mohd Ariff
Awang, Mohd Shukrimi
Mohamed Amin, Mohamed Azril
Mohd Yusof, Nazri
author_facet Hassan, Mohd Sallehuddin
Zakaria@Mohamad, Zamzuri
Sharifudin, Mohd Ariff
Awang, Mohd Shukrimi
Mohamed Amin, Mohamed Azril
Mohd Yusof, Nazri
author_sort Hassan, Mohd Sallehuddin
title Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan
title_short Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan
title_full Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan
title_fullStr Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan
title_full_unstemmed Primary fixation of AO type-C fracture of the distal radius with volar locking plates. A cross-sectional study of patient rated outcomes at Hospital Tengku Ampuan Afzan
title_sort primary fixation of ao type-c fracture of the distal radius with volar locking plates. a cross-sectional study of patient rated outcomes at hospital tengku ampuan afzan
publisher Faculty of Medicine, International Islamic University Malaysia
publishDate 2014
url http://irep.iium.edu.my/39468/
http://irep.iium.edu.my/39468/
http://irep.iium.edu.my/39468/1/39468_Primary%20fixation%20of%20AO%20type-C%20fracture.pdf
http://irep.iium.edu.my/39468/2/39468_Primary%20fixation%20of%20AO%20type-C%20fracture_SCOPUS.pdf
first_indexed 2023-09-18T20:56:42Z
last_indexed 2023-09-18T20:56:42Z
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