Patient-reported outcomes after a distal radius fracture in adults: a 3–4 years follow-up

Roderick H  van Leerdam; Floortje Huizing; Frank Termaat; Sanne Kleinveld; Steven J Rhemrev; Pieta Krijnen; Inger B Schipper

doi:10.1080/17453674.2019.1568098

Patient-reported outcomes after a distal radius fracture in adults: a 3–4 years follow-up

Authors

Roderick H van Leerdam Department of Surgery, Leiden University Medical Center (LUMC), The Netherlands
Floortje Huizing Department of Surgery, Leiden University Medical Center (LUMC), The Netherlands
Frank Termaat Department of Surgery, Leiden University Medical Center (LUMC), The Netherlands
Sanne Kleinveld Department of Surgery, Haga Hospital, The Netherlands
Steven J Rhemrev Department of Surgery, The Hague Medical Center (HMC), The Netherlands
Pieta Krijnen Department of Surgery, Leiden University Medical Center (LUMC), The Netherlands
Inger B Schipper Department of Surgery, Leiden University Medical Center (LUMC), The Netherlands

DOI:

https://doi.org/10.1080/17453674.2019.1568098

Abstract

Background and purpose — There are few reports on the outcome of distal radius fractures after 1 year. Therefore we investigated the long-term patient-reported functional outcome and health-related quality of life after a distal radius fracture in adults.

Patients and methods — We reviewed 823 patients, treated either nonoperatively or operatively in 2012. After a mean follow-up of 3.8 years 285 patients (35%) completed the Patient-Rated Wrist Evaluation (PRWE) and EuroQol5D.

Results — The mean PRWE score was 11. The mean EQ-5D index value was 0.88 and the mean EQ VAS for selfrated health status was 80. Nonoperatively treated type A and type B fractures had lower PRWE scores compared with operatively treated patients, whereas the EQ-5D was similar between groups. The EQ VAS for patients aged 65 and older was statistically significantly lower than that of younger patients.

Interpretation — Patients had a good overall long-term functional outcome after a distal radius fracture. Patients with fractures that were possible to treat nonoperatively had less pain and better wrist function after long-term follow-up than patients who needed surgical fixation.

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Published

2019-01-23

How to Cite

van Leerdam, R. H. ., Huizing, F., Termaat, F., Kleinveld, S., Rhemrev, S. J., Krijnen, P., & Schipper, I. B. (2019). Patient-reported outcomes after a distal radius fracture in adults: a 3–4 years follow-up. Acta Orthopaedica, 90(2), 129–134. https://doi.org/10.1080/17453674.2019.1568098

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Issue

Acta Orthopaedica, Volume 90, Issue 2 (2019)

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.