1. Forearm rotation improves after corrective osteotomy in patients with symptomatic distal radius malunion
- Author
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E.M. van Es, M. Dijkhof, J.S. Souer, F.J. van Ewijk, L. Hoogendam, H.P. Slijper, R.W. Selles, J.W. Colaris, R.A.M. Blomme, J.M. Smit, K. Harmsen, G. Halbesma, G.M. Vermeulen, JP de Schipper, J.H. van Uchelen, O.T. Zöphel, L. Esteban Lopez, A. Fink, R. van Huis, P.Y. Pennehouat, K. Schoneveld, G.D. Arends, R. Feitz, S.E.R. Hovius, Y.E. van Kooij, J.E. Koopman, M.J.W. van der Oest, W.A. de Ridder, L. Sikking, M.H.P. ter Stege, J.S. Teunissen, R.M. Wouters, N.L. Loos, N.H.A. Mendelaar, L van Wijk, W.R. Bijlsma, L.S. Duraku, E.P.A. van der Heijden, C.A. Hundepool, and J.M. Zuidam
- Subjects
Distal radius malunion ,Forearm rotation ,Range of motion ,Patient-reported outcome measurements ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Objectives: Distal radius malunion can result in pain and functional complaints. One of the functional problems that can affect daily life is impaired forearm rotation. The primary aim of this study was to investigate the effect of corrective osteotomy for distal radius malunion on forearm rotation at 12 months after surgery. We secondarily studied the effect on grip strength, radiological measurements, and patient-reported outcome measurements (PROMs). Patients and methods: This cohort study analysed prospectively collected data of adult patients with symptomatic distal radius malunion. All patients underwent corrective osteotomy for malunion and were followed for 1 year. We measured forearm rotation (pronation and supination) and grip strength and analysed radiographs. PROMs consisted of the Patient-Rated Hand/Wrist Evaluation (PRWHE) questionnaire, Visual Analogue Scale for pain, and satisfaction with hand function. Results: Preoperative total forearm rotation was 112° (SD: 34°), of which supination of 49° (SD: 25°) was more impaired than pronation of 63° (SD: 17°). Twelve months after surgery, an unpaired Student's t-test showed a significant improvement of total forearm rotation to 142° (SD: 17°) (p
- Published
- 2024
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