Relative Study between Functional Outcome and Anatomical Results in Fracture of Distal End Radius in Elderly Patients in Nopparatrajathanee Hospital - ความสัมพันธ์ของการใช้งานกับรูปทรงกระดูกข้อมือภายหลังการรักษาโดยวิธีใส่เฝือก ในกระดูกข้อมือของผู้สูงอายุ ในโรงพยาบาลนพรัตนราชธานี

Abstract

The functional and anatomical results of distal end radius fracture with displacement in 21
elderly patients were reviewed in this prospective study. The mean age of the patients was 73.6
years(range,62-84) and the mean follow-up period was one year (range,6-15 months). According to
the sum of demerit points of Saito,the latest follow-up functional end results were ‘good’ in 81
percent and ‘fair’ in 9 percent. As for the anatomical results at follow-up,the average radial tilt was
15.38°, radial height 8.05 mm, Ulnar variance 3.59 mm, and Palmar tilt -10.24°. Though functional
results of most of the patients did not correlate with the radiographic evidence of deformities,the
grip power of hand decreased significantly more than 50 percent. However activities of the elderly
groups are naturally limited and therefore are not significantly affected.
Key words: distal end radius, acceptable alignment of distal end radius on radiography, anatomical assessment, functional assessment