Author:
Yoga Made Asmara,Kawiyana Ketut Siki,Karna Made Bramantya
Abstract
BACKGROUND: Distal radius fractures are the most common upper extremity fractures with a prevalence of 20% of all limb fractures. According to the distal radius fracture guidelines by the American Academy of orthopedic surgeons, conservative therapy can be used in the management of distal radius fractures that are well reduced.
AIM: The purpose of this study was to compare conservative therapy of short arm cast (SAC) and long arm cast (LAC) in the management of intraarticular distal radius fractures.
METHODS: A prospective cohort observational study with consecutive sampling was conducted on 24 intraarticular distal fracture patients who underwent SAC and LAC procedures. The parameters measured were Interleukin-6 (IL-6) score, ulnar variance (UV), dorsal tilt (DT), articular step-off (SO), radiological union score system (RUSS), and patient-rated wrist evaluation (PRWE) score.
RESULTS: The dominance of patients was males aged 46 years, with an average IL-6 levels at 0–24 was 1139.23 ± 266.82 SAC and 1082.64 ± 255.85 LAC, and IL-6 levels at 48 h was 102.98 ± 39.31 SAC and 118.38 ± 39.15 LAC; 2 patients with SAC and 1 patient with LAC obtained unacceptable reduction at week 2 based on UV, DT, SO which did not differ significantly from each follow-up; RUSS 6.08 ± 0.76 SAC and 5.71 ± 0.61 LAC; and PRWE 73.23 ± 4.42 SAC and 71.86 ± 4.07 LAC. Based on statistical analysis, there were insignificant differences in IL-6, UV, DT, SO, RUSS, and PRWE levels between the SAC and LAC groups (p > 0.05).
CONCLUSION: Conservative therapy with SAC may be an option for immobilization of distal radius fracture similar to LAC.
Publisher
Scientific Foundation SPIROSKI
Reference16 articles.
1. Kachooei AR, Peivandi MT, Ebrahimzadeh MH, Razi S, Naghashzargar RM, Noori M, et al. Outcome assessment in the treatment of A2-OTA type fractures of the distal radius by short arm cast versus long arm cast. Ann Biol Res. 2013;4(5):247-51.
2. Kim JK, Park ES. The effect of short arm cast length on forearm rotation. J Hand Surg Am. 2014;39(4):629-33. https://doi.org/10.1016/j.jhsa.2013.12.034 PMid:24559756
3. Aparicio P, Izquierdo Ó, Castellanos J. Conservative treatment of distal radius fractures: A prospective descriptive study. Hand (N Y). 2018;13(4):448-54. https://doi.org/10.1177/1558944717708025 PMid:28581340
4. Jung HW, Hong H, Jung HJ, Kim JS, Park HY, Bae KH, et al. Redisplacement of distal radius fracture after initial closed reduction: Analysis of prognostic factors. Clin Orthop Surg. 2015;7(3):377-82. https://doi.org/10.4055/cios.2015.7.3.377 PMid:26330962
5. Lichtman DM, Bindra RR, Boyer MM, Putnam MD, Ring D, Slutsky DJ, et al. Treatment of distal radius fractures. J Am Acad Orthop Surg. 2010;18(3):180-9. https://doi.org/10.5435/00124635-201003000-00007 PMid:20190108