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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Clinical Outcome of Fixation Versus Conservative Management of Basal Fractures of the Ulnar Styloid Following Volar Plate Fixation of the Distal Radius

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  • presenting/speaker Ahmed Afifi - Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1345

doi: 10.3205/19ifssh1357, urn:nbn:de:0183-19ifssh13577

Published: February 6, 2020

© 2020 Afifi.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: To compare functional outcome after fixation and conservative management of basal fractures of the ulnar styloid after volar plating of distal radius fractures without DRUJ instability.

Methods: This is a prospective randomized control trial conducted at an academic Level 1 Trauma Center between 2015 and 2017. The study included 31 patients (22 males and 9 females). The mean age was 36 years (20-50 years). The dominant hand was affected in 14 cases and the non-dominant hand was affected in 17 cases. Patients were divided into 2 groups; the first group included 15 patients to whom ulnar styloid fixation was done. The second group included 16 patients with conservative management of ulnar styloid. Randomization was done by using the double blind method. Patients were assessed for pain by Visual Analogue Scale (VAS) and grip strength compared to the sound side. Functional evaluation was performed by using the Modified Mayo Wrist Score (MMWS) the Quick-DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire.

Results and Conclusions: In the first group, the mean postoperative visual analogue scale (VAS) for pain was 0.46 (range, 0 to 2), the mean quick DASH score was 26.23 (range, 17 to 35) and the mean postoperative Mayo modified wrist score (MMWS) was 75 (range, 65 to 85). The mean grip strength was 61.33 % of the sound side (range, 45 to 80%).

In the second group, the mean postoperative visual analogue scale (VAS) for pain was 0.44 (range, 0 to 2), the mean quick DASH score was 23.67(range, 16 to 34) and the mean postoperative Mayo modified wrist score (MMWS) was 72.78 (range, 70 to 85). The mean grip strength was 54.38 % of the sound side (range, 30 to 80%).

To conclude, results were comparable in both groups and differences were statistically insignificant.