Does osteoporosis have a negative effect on the functional outcome of an osteoporotic distal radial fracture treated with a volar locking plate?

Title
Does osteoporosis have a negative effect on the functional outcome of an osteoporotic distal radial fracture treated with a volar locking plate?
Authors
이광현
Issue Date
2015-01
Publisher
BRITISH EDITORIAL SOC BONE JOINT SURGERY
Citation
BONE & JOINT JOURNAL, v. 97B, Page. 229-234
Abstract
We performed a retrospective study to determine the effect of osteoporosis on the functional outcome of osteoporotic distal radial fractures treated with a volar locking plate. Between 2009 and 2012 a total of 90 postmenopausal women with an unstable fracture of the distal radius treated with a volar locking plate were studied. Changes in the radiological parameters of 51 patients with osteoporosis (group 1, mean age 66.9, mean T-score -3.16 (SD 0.56)) were not significantly different from those in 39 patients without osteoporosis (group 2, mean age 61.1, mean T-score -1.72 (SD 0.57)). The mean Disabilities of the Arm, Shoulder and Hand (DASH) score at final follow-up was 11.5 (SD 12.2) in group 1 and 10.5 (SD 13.25) in group 2. The mean modified Mayo wrist score at final follow-up was 79.0 (SD 14.04) in group 1 and 82.6 (SD 13.1) in group 2. However, this difference was not statistically significant (p = 0.35 for DASH score, p = 0.2 for modified Mayo wrist score). Univariable and multivariable logistic regression analysis showed that only the step-off of the radiocarpal joint was related to both a poor DASH and modified Mayo wrist score. Pearson's correlation coefficient showed a weak negative relationship only between the T-score and the change in volar tilt (intraclass coefficient -0.26, p = 0.02).We found that osteoporosis does not have a negative effect on the functional outcome and additional analysis did not show a correlation between T-score and outcome.
URI
http://hdl.handle.net/20.500.11754/20981http://www.bjj.boneandjoint.org.uk/content/97-B/2/229
ISSN
2049-4394
DOI
http://dx.doi.org/10.1302/0301-620X.97B2.34613
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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