Assessment of post-traumatic arthritis and functional outcome in patients treated operatively and non-operatively for distal radius Fractures – a 2-year cohort study

Mihailo Ille; Slađana Matić; Katarina Gambiroža; Petar Vukman; Silvija Ille; Amir Alshizawi; Latifa Nabeel Alsaad; Tomasz Blicharski

doi:10.26444/aaem/202885

April 29, 2025Annals of Agricultural and Environmental MedicineOpen Access

Assessment of post-traumatic arthritis and functional outcome in patients treated operatively and non-operatively for distal radius Fractures – a 2-year cohort study

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Key Points

To compare operative versus non-operative treatment outcomes for distal radius fractures in older patients and evaluate the two-year incidence and predictors of post-traumatic arthritis.
Conducted a prospective cohort study following 70 patients aged 65 years or older with low-energy distal radius fractures managed surgically or non-surgically over a 2-year period.
Assessed wrist functionality, pain levels, and arthritis risk factors using QuickDASH, Mayo, and PRWHE scoring systems alongside radiographic screening for post-traumatic arthritis.
Evaluated predictor significance and classifier performance using logistic regression and receiver operating characteristic curve analyses.
Showed no statistically significant differences in post-traumatic arthritis development between surgically and conservatively treated cohorts across 24 months of follow-up.
Identified persistent pain at 6 months post-fracture as a statistically significant early predictor of subsequent post-traumatic arthritis (p < 0.05).
Demonstrated strong internal consistency among the QuickDASH, Mayo, and PRWHE evaluation instruments (Cronbach's alpha = 0.848).

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Implication

Prospective cohort study finds no difference in post-traumatic arthritis between operative and non-operative care in older adults, suggesting non-surgical management should be the first choice.

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Ille et al. (2025) studied this question.

synapsesocial.com/papers/6a7304d8c632065ce960dccf https://doi.org/10.26444/aaem/202885

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Assessment of post-traumatic arthritis and functional outcome in patients treated operatively and non-operatively for distal radius Fractures – a 2-year cohort study

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Assessment of post-traumatic arthritis and functional outcome in patients treated operatively and non-operatively for distal radius Fractures – a 2-year cohort study

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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