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Archives of Orthopaedic and Trauma Surgery

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Open Access 01-11-2017 | Trauma Surgery

Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review

Authors: C. M. Lameijer, H. J. ten Duis, I. van Dusseldorp, P. U. Dijkstra, C. K. van der Sluis

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2017

Abstract

Introduction

The objective of this systematic review was to analyze (1) prevalence of radiological posttraumatic arthritis (PA), (2) associations of PA with outcome measures and (3) predictors of PA following distal radius fractures in non-osteoporotic patients.

Materials and methods

Nineteen studies were included (10 open source data).

Results

In total, 733 patients were described with a weighted mean age of 37 years (range 25–54) at the time of the injury. Follow-up ranged from 13 months to 38 years. Overall prevalence of PA was 50% and 37% in the open source data. Radial deviation was significantly worse in patients with PA (N = 49, mean 14°, SD 6° versus N = 55, mean 17°, SD 6°, p = 0.037). No analysis could be performed regarding patient reported outcome measures, because of limited data. Articular incongruence was a significant predictor for PA.

Conclusions

A high prevalence of PA was found in non-osteoporotic patients following a distal radius fracture. PA following a distal radial fracture was associated with a limited radial deviation and flexion, but not with grip strength. Articular incongruence predicted PA. Patient reported outcome measures should be investigated more thoroughly to be able to understand the value of using these instruments in interpreting outcome in follow-up of non-osteoporotic patients following a distal radius fracture.

Level of evidence

Level of evidence 3 (Phillips et al. Levels of Evidence—Oxford Centre for Evidence-based Medicine, 1)

Available only for authorised users

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Title: Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review
Authors: C. M. Lameijer
H. J. ten Duis
I. van Dusseldorp
P. U. Dijkstra
C. K. van der Sluis
Publication date: 01-11-2017
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-017-2765-0

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Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review

Abstract

Introduction

Materials and methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

Level of evidence

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