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Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures

  • Authors:
    • Kenjiro Kawamura
    • Kiyohito Naito
    • Takamaru Suzuki
    • Yasuhiro Yamamoto
    • So Kawakita
    • Norizumi Imazu
    • Muneaki Ishijima
  • View Affiliations / Copyright

    Affiliations: Department of Medicine for Orthopaedics and Motor Organ, Juntendo University Graduate School of Medicine, Tokyo 113‑8421, Japan, Department of Orthopaedics, Faculty of Medicine, Juntendo University, Tokyo 113‑8421, Japan
    Copyright: © Kawamura et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 65
    |
    Published online on: August 14, 2024
       https://doi.org/10.3892/mi.2024.189
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Abstract

In the present study, the clinical findings that interfere with the immediate return to activity following volar locking plate (VLP) fixation for distal radius fractures were investigated. A total of 95 patients who underwent VLP fixation for distal radius fracture between July, 2014 and January, 2022 were divided into a good group (good score and outcome; n=86; 22 males and 64 females; median age, 61. years) and a poor group (poor score and outcome; n=8; 8 females; median age, 63.6 years) according to the quartiles of the disabilities of the arm, shoulder and hand (Q‑DASH) score, at 1 month following VLP fixation. The duration from injury to surgery, the direction of fracture dislocation and radiographic parameters [radial inclination (RI), volar tilt (VT) and ulnar variance (UV)] at the time of injury were examined. Radiographic parameters (RI, VT and UV), the range of motion of the wrist joint, grip strength ratio and visual analog scale (VAS) at 1 month following VLP fixation were also examined. These parameters were compared among both groups. Moreover, logistic regression analysis was performed to determine whether these factors were independently associated with a poor Q‑DASH score at 1 month following VLP fixation. At the time of injury, fracture displacement was significantly higher in the poor group (VT, ‑23.8˚; UV, 4.2 mm) than the good group (VT, ‑6.5˚; P=0.02; UV, 1.3 mm; P=0.01). No differences in the other parameters were observed between the groups. At 1 month following VLP fixation, the grip strength ratio (17.2%) in the poor group was significantly lower than that in the good group (43.8%, P<0.001), while the VAS score (5.6) in the poor group was significantly higher than that in the good group (2.4, P<0.001). Logistic regression analysis revealed that VT and UV at injury (P<0.05), grip strength ratio (P<0.001) and pain (VAS score) (P<0.001) were all independently associated with a poor Q‑DASH score. On the whole, the present study suggests that large amounts of fracture displacement, weakness of grip strength and post‑operative pain can be factors interfering with the return to activity immediately following VLP fixation.
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1 

Nellans KW, Kowalski E and Chung KC: The epidemiology of distal radius fractures. Hand Clin. 28:113–125. 2012.PubMed/NCBI View Article : Google Scholar

2 

Bonafede M, Espindle D and Bower AG: The direct and indirect costs of long bone fractures in a working age US population. J Med Econ. 16:169–178. 2013.PubMed/NCBI View Article : Google Scholar

3 

Koo KOT, Tan DMK and Chong AKS: Distal radius fractures: An epidemiological review. Orthop Surg. 5:209–213. 2013.PubMed/NCBI View Article : Google Scholar

4 

Chung KC, Shauver MJ and Birkmeyer JD: Trends in the United States in the treatment of distal radial fractures in the elderly. J Bone Joint Surg Am. 91:1868–1873. 2009.PubMed/NCBI View Article : Google Scholar

5 

Wilcke MKT, Hammarberg H and Adolphson PY: Epidemiology and changed surgical treatment methods for fractures of the distal radius: A registry analysis of 42,583 patients in Stockholm County, Sweden, 2004-2010. Acta Orthop. 84:292–296. 2013.PubMed/NCBI View Article : Google Scholar

6 

Mellstrand-Navarro C, Pettersson HJ, Tornqvist H and Ponzer S: The operative treatment of fractures of the distal radius is increasing: Results from a nationwide Swedish study. Bone Joint J. 96:963–969. 2014.PubMed/NCBI View Article : Google Scholar

7 

Oldrini LM, Feltri P, Albanese J, Lucchina S, Filardo G and Candrian C: Volar locking plate vs cast immobilization for distal radius fractures: A systematic review and meta-analysis. EFORT Open Rev. 7:644–652. 2022.PubMed/NCBI View Article : Google Scholar

8 

MacDermid JC: Patient-reported outcomes: State-of-the-art hand surgery and future applications. Hand Clin. 30:293–304. 2014.PubMed/NCBI View Article : Google Scholar

9 

Imaeda T, Toh S, Wada T, Uchiyama S, Okinaga S, Kusunose K and Sawaizumi T: Validation of the Japanese Society for Surgery of the Hand version of the quick disability of the Arm, Shoulder, and Hand (QuickDASH-JSSH) questionnaire. J Orthop Sci. 11:248–253. 2006.PubMed/NCBI View Article : Google Scholar

10 

Soong M, Leerdam RV, Guitton TG, Got C, Katarincic J and Ring R: Fracture of the distal radius: Risk factors for complications after locked volar plate fixation. J Hand Surg Am. 36:3–9. 2011.PubMed/NCBI View Article : Google Scholar

11 

Yu L, Zhang X, Zhang B, Hu C, Yu K, Tian D and Bai Y: Outcomes of volar locking plate (VLP) fixation for treatment of die-punch fracture of the distal radius: A retrospective single-surgeon study. Medicine (Baltimore). 98(e16796)2019.PubMed/NCBI View Article : Google Scholar

12 

Zhu Y, Liu S, Li Y, Yang Q, Miao R and Zhang Y: Risk factors for complications following volar locking plate (VLP) fixation of unstable distal radius fracture (DRF). Biomed Res Int. 2022(9117533)2022.PubMed/NCBI View Article : Google Scholar

13 

Fritzsching B, Fellenberg J, Moskovszky L, Sápi Z, Krenacs T, Machado I, Poeschl J, Lehner B, Szendrõi M, Bosch AL, et al: CD8+/FOXP3+-ratio in osteosarcoma microenvironment separates survivors from non-survivors: A multicenter validated retrospective study. Oncoimmunology. 4(e990800)2015.PubMed/NCBI View Article : Google Scholar

14 

Lee HW, Kim KT, Lee S, Yoon JH and Kim JY: Fracture severity and triangular fibrocartilage complex injury in distal radius fractures with or without osteoporosis. J Clin Med. 13(992)2024.PubMed/NCBI View Article : Google Scholar

15 

Lindau T, Adlercreutz C and Aspenberg P: Peripheral tears of the triangular fibrocartilage complex cause distal radioulnar joint instability after distal radial fractures. J Hand Surg Am. 25:464–468. 2000.PubMed/NCBI View Article : Google Scholar

16 

Egol KA, Soojian MG, Walsh M, Katz J, Rosenberg AD and Paksima N: Regional anesthesia improves outcome after distal radius fracture fixation over general anesthesia. J Orthop Trauma. 26:545–549. 2012.PubMed/NCBI View Article : Google Scholar

17 

Beumer A and Lindau TR: Grip strength ratio: A grip strength measurement that correlates well with DASH score in different hand/wrist conditions. BMC Musculoskelet Disord. 15(336)2014.PubMed/NCBI View Article : Google Scholar

18 

Lill CA, Goldhahn J, Albrecht A, Eckstein F, Gatzka C and Schneider E: Impact of bone density on distal radius fracture patterns and comparison between five different fracture classifications. J Orthop Trauma. 17:271–278. 2003.PubMed/NCBI View Article : Google Scholar

19 

Clayton RAE, Gaston MS, Ralston SH, Court-Brown CM and McQueen MM: Association between decreased bone mineral density and severity of distal radial fractures. J Bone Joint Surg Am. 91:613–619. 2009.PubMed/NCBI View Article : Google Scholar

20 

Baba T, Hagino H, Nonomiya H, Ikuta T, Shoda E, Mogami A, Sawaguchi T and Kaneko K: Inadequate management for secondary fracture prevention in patients with distal radius fracture by trauma surgeons. Osteoporos Int. 26:1959–1963. 2015.PubMed/NCBI View Article : Google Scholar

21 

Zeng ZL and Xie H: Mesenchymal stem cell-derived extracellular vesicles: A possible therapeutic strategy for orthopaedic diseases: A narrative review. Biomater Transl. 3:175–187. 2022.PubMed/NCBI View Article : Google Scholar

22 

Meng F, Wang G, Zhou F, Li G, Wang M, Zhou Z, Han Y, Chen X, Hu Y, Zhang Y, et al: Exosomes from young plasma alleviate osteoporosis through miR-217-5p-regulated osteogenesis of bone marrow mesenchymal stem cell. Compos B Eng. 276(111358)2024.

23 

Mulders MAM, Selles CA, Colaris JW, Peters RW, van Heijl M, Cleffken BI and Schep NWL: Operative treatment of intra-articular distal radius fractures with versus without arthroscopy: Study protocol for a randomised controlled trial. Trials. 19(84)2018.PubMed/NCBI View Article : Google Scholar

24 

Luo P, Lou J and Yang S: Pain management during rehabilitation after distal radius fracture stabilized with volar locking plate: A prospective cohort study. Biomed Res Int. 2018(5786089)2018.PubMed/NCBI View Article : Google Scholar

25 

Niedermeier SR, Crouser N, Hidden K and Jain SA: Pain management following open reduction and internal fixation of distal radius fractures. J Wrist Surg. 10:27–30. 2021.PubMed/NCBI View Article : Google Scholar

26 

Chen S, Wang H, Du J, Ding Z, Wang T, Zhang L, Yang J, Guan Y, Chen C, Li M, et al: Near-infrared light-activatable, analgesic nanocomposite delivery system for comprehensive therapy of diabetic wounds in rats. Biomaterials. 305(122467)2024.PubMed/NCBI View Article : Google Scholar

27 

Yamamoto A, Fujita K, Yamada E, Ibara T, Nihey F, Inai T, Tsukamoto K, Kobayashi Y, Nakahara K and Okawa A: Foot characteristics of the daily-life gait in postmenopausal females with distal radius fractures: A cross-sectional study. BMC Musculoskelet Disord. 24(706)2023.PubMed/NCBI View Article : Google Scholar

28 

Izawa KP, Kasahara Y, Hiraki K, Hirano Y and Watanabe S: Relation between the disability of the Arm, Shoulder and Hand score and muscle strength in post-cardiac surgery patients. Diseases. 5(31)2017.PubMed/NCBI View Article : Google Scholar

29 

Roh YH, Lee BK, Noh JH, Oh JH, Gong HS and Baek GH: Factors delaying recovery after volar plate fixation of distal radius fractures. J Hand Surg Am. 39:1465–1470. 2014.PubMed/NCBI View Article : Google Scholar

30 

Kaji Y, Yamaguchi K, Nomura Y, Oka K, Nakamura O, Ishibashi Y and Yamamoto T: Postoperative early and proactive grip strength training program for distal radius fractures promotes earlier recovery of grip strength: A retrospective study. Medicine (Baltimore). 101(e29262)2022.PubMed/NCBI View Article : Google Scholar

31 

Earp BE, Foster B and Blazar PE: The use of a single volar locking plate for AO C3-type distal radius fractures. Hand (NY). 10:649–653. 2015.PubMed/NCBI View Article : Google Scholar

32 

Grube G, Gruber K, Giessauf C, Clar H, Zacherl M, Fuerst F and Bernhardt GA: Volar plate fixation of AO type C2 and C3 distal radius fractures, a single-center study of 55 patients. J Orthop Trauma. 22:467–472. 2008.PubMed/NCBI View Article : Google Scholar

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Spandidos Publications style
Kawamura K, Naito K, Suzuki T, Yamamoto Y, Kawakita S, Imazu N and Ishijima M: Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures. Med Int 4: 65, 2024.
APA
Kawamura, K., Naito, K., Suzuki, T., Yamamoto, Y., Kawakita, S., Imazu, N., & Ishijima, M. (2024). Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures. Medicine International, 4, 65. https://doi.org/10.3892/mi.2024.189
MLA
Kawamura, K., Naito, K., Suzuki, T., Yamamoto, Y., Kawakita, S., Imazu, N., Ishijima, M."Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures". Medicine International 4.6 (2024): 65.
Chicago
Kawamura, K., Naito, K., Suzuki, T., Yamamoto, Y., Kawakita, S., Imazu, N., Ishijima, M."Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures". Medicine International 4, no. 6 (2024): 65. https://doi.org/10.3892/mi.2024.189
Copy and paste a formatted citation
x
Spandidos Publications style
Kawamura K, Naito K, Suzuki T, Yamamoto Y, Kawakita S, Imazu N and Ishijima M: Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures. Med Int 4: 65, 2024.
APA
Kawamura, K., Naito, K., Suzuki, T., Yamamoto, Y., Kawakita, S., Imazu, N., & Ishijima, M. (2024). Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures. Medicine International, 4, 65. https://doi.org/10.3892/mi.2024.189
MLA
Kawamura, K., Naito, K., Suzuki, T., Yamamoto, Y., Kawakita, S., Imazu, N., Ishijima, M."Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures". Medicine International 4.6 (2024): 65.
Chicago
Kawamura, K., Naito, K., Suzuki, T., Yamamoto, Y., Kawakita, S., Imazu, N., Ishijima, M."Factors that interfere with immediate return to activity following volar locking plate fixation for distal radius fractures". Medicine International 4, no. 6 (2024): 65. https://doi.org/10.3892/mi.2024.189
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