Back to Search Start Over

[Score system--potential uses and application in the assessment of results in Colles' fractures].

Authors :
Cvetković V
Lesić A
Source :
Srpski arhiv za celokupno lekarstvo [Srp Arh Celok Lek] 2008 Jul-Aug; Vol. 136 (7-8), pp. 384-90.
Publication Year :
2008

Abstract

Introduction: Colles'fractures are the most common fractures of the human skeleton, especially in winter and in menopausal women.<br />Objective: The objective of the paper was to provide an overview of the potential uses of the Gartland-Werley (G-W) scoring system, that is, of its elements (residual deformities, subjective discomfort, objective discomfort and complications) in assessing the results of the Colles' fractures treatment; as well as to determine which of these elements--and to what extent--have an impact on the final result of the scoring system and what correlations exist within the G-W scoring system itself.<br />Method: Our paper included 102 patients suffering from Colles' fractures treated non-operatively with a minimum follow-up period of one year.The Gartland-Werley scoring system was used to assess the results of the non-operative treatment.<br />Results: The results, when applying the G-W score, were excellent in 40, good in 46, satisfactory in 14, and poor in 2 patients at the end of the assessment. The G-W score elements had the following percentages in the scoring results: residual deformities 15.38%, subjective discomfort 15.38%, objective discomfort (functional results) 43.58%, and complications 25.64%. The correlation analysis showed a statistically significant correlation of the residual deformities and the total G-W score (p < 0.01) at the level of subjective discomfort and total G-W score (p < 0.01), and between objective discomfort and total G-W score at the same level.<br />Conclusion: Colles'fractures, as the most common fractures in humans, require a special approach and adequate assessment of final treatment results, because inadequate treatment results in the reduction of patients'daily activities and their ability to work.

Details

Language :
Serbian
ISSN :
0370-8179
Volume :
136
Issue :
7-8
Database :
MEDLINE
Journal :
Srpski arhiv za celokupno lekarstvo
Publication Type :
Academic Journal
Accession number :
18959174
Full Text :
https://doi.org/10.2298/sarh0808384c