Aims We conducted a study to determine whether radiological parameters correlate with patient reported functional outcome, health-related quality of life and physical measures of function in patients with a fracture of the distal radius.
Patients and Methods The post-operative palmar tilt and ulnar variance at six weeks and 12 months were correlated with the Patient Rated Wrist Evaluation, Disabilities of the Arm, Shoulder and Hand, and EuroQol scores, grip strength, pinch strength and range of movement at three, six and 12 months for 50 patients (mean age 57 years; 26 to 85) having surgical fixation, with either percutaneous pinning or reconstruction with a volar plate, for a fracture of the distal radius.
Results Radiological parameters were found to correlate poorly with the patient reported outcomes (r = 0.00 to 0.47) and physical measures of function (r = 0.01 to 0.51) at all intervals.
Conclusion This study raises concerns about the use of radiological parameters to determine management, and to act as a surrogates for successful treatment, in patients with a fracture of the distal radius. Restoration of ‘normal’ radiographic parameters may not be necessary to achieve a satisfactory functional outcome for the patient.
Cite this article: Bone Joint J 2017;99-B:376–82.
C. E. Plant: Data collection, Data analysis, Writing the paper.
N. R. Parsons: Data analysis, Writing the paper.
M. L. Costa: Data analysis, Writing the paper.
This study was partly funded through the Health Technology Assessment scheme of the NIHR (HTA08/116/97) and a DePuy research project grant paid directly to the institute. This manuscript presents independent research. The views expressed are those of the authors and not necessarily those of the NHS, NIHR, The Department of Health or DePuy. This trial was co-sponsored by the University of Warwick and University Hospitals Coventry and Warwickshire NHS Trust.
Although none of the authors has received or will receive benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this article, benefits have been or will be received but will be directed solely to a research fund, foundation, educational institution, or other non- profit organization with which one or more of the authors are associated.
This article was primary edited by G. Scott.
- Received January 21, 2015.
- Accepted September 9, 2016.
- ©2017 The British Editorial Society of Bone & Joint Surgery