Jnl Wrist Surg 2017; 06(04): 301-306
DOI: 10.1055/s-0037-1602800
Scientific Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Preexisting Carpal and Carpometacarpal Osteoarthritis Has No Impact on Function after Distal Radius Fractures

Jonah Hébert Davies
Department of Surgery, Hôpital du Sacré-Coeur de Montréal, Montréal, Québec, Canada
Université de Montréal, Montréal, Québec, Canada
,
Hugo Centomo
Department of Surgery, Hôpital du Sacré-Coeur de Montréal, Montréal, Québec, Canada
Université de Montréal, Montréal, Québec, Canada
,
Stéphane Leduc
Department of Surgery, Hôpital du Sacré-Coeur de Montréal, Montréal, Québec, Canada
Université de Montréal, Montréal, Québec, Canada
,
Pierre Beaumont
Department of Surgery, Hôpital du Sacré-Coeur de Montréal, Montréal, Québec, Canada
Université de Montréal, Montréal, Québec, Canada
,
G.-Yves Laflamme
Department of Surgery, Hôpital du Sacré-Coeur de Montréal, Montréal, Québec, Canada
Université de Montréal, Montréal, Québec, Canada
,
Dominique M. Rouleau
Department of Surgery, Hôpital du Sacré-Coeur de Montréal, Montréal, Québec, Canada
Université de Montréal, Montréal, Québec, Canada
› Author Affiliations
Further Information

Publication History

09 November 2016

05 April 2017

Publication Date:
02 May 2017 (eFirst)

Abstract

Background Functional outcomes of distal radius fractures vary widely regardless of treatment methods.

Purpose This study aims to verify whether preexisting carpal and carpometacarpal (CMC) osteoarthritis (OA) will negatively impact wrist functional outcome in patients with distal radius fractures.

Patients and Methods A retrospective case–control study was done using a prospective trauma database. Patients were matched 1:1 in two groups based on the presence of wrist or carpal arthritis (OA). The groups were matched for sex, follow-up, and treatment type. Patients were followed up for a minimum of 1 year and functional outcomes were assessed using validated scores.

Results A total of 61 patients were included. Mean age was 63 years (range: 20–85) and average follow-up was 26 months. There were 31 patients in the OA+ group and 30 in the OA− group. Forty-one patients were treated surgically and 20 nonoperatively. None of the patients in the OA− developed OA during follow-up. Both groups were comparable for sex, residual deformity, and follow-up. There was no significant difference for the visual analog scale, Short Form-12, Quick Disability Arm Shoulder Hand, and Patient-rated Wrist Evaluation, or for radiographic outcomes.

Conclusion Preexisting OA in the wrist or CMC does not seem to impact outcomes of distal radius fractures, regardless of treatment, age, or sex. Although this is a negative study, the results are important to help counsel patients with distal radius fractures. Further work must be done to identify other potential causes for negative outcomes.

Level of Evidence Level III, prognostic study.

Ethical Review Committee Statement

The ethical committee approval number is CÉR-2011-595.