Only the DASH and PRWE have evidence of reliability , validity , and responsiveness in patients with traumatic injuries to the h and and wrist ; other measures either have incomplete evidence or evidence gathered in a nontraumatic population .
Conclusions : The DASH and PRWE both have evidence of reliability , validity , and responsiveness in a h and and wrist trauma population .
Other PROMs used to assess h and and wrist trauma patients do not .
Background : Patient-reported outcome measures ( PROMs ) are important tools for assessing outcomes following injuries to the h and and wrist .
Many commonly used PROMs have no evidence of reliability , validity , and responsiveness in a h and and wrist trauma population .
This systematic review examines the PROMs used in the assessment of h and and wrist trauma patients , and the evidence for reliability , validity , and responsiveness of each measure in this population .
A Comparative Study of Fragment-Specific versus Volar Plate Fixation of Distal Radius Fractures
Background : There are many plating systems available for treating distal radius fractures , and deciding which to use can be difficult . This prospect i ve cohort study compared outcomes of two commonly used fixation systems : fragment-specific fixation and a fixed-angle volar locking plate system . Methods : Consecutive distal radius fractures were prospect ively evaluated in a fragment-specific fixation cohort and a volar locking plate system cohort . Radiographic , functional , and patient-rated outcomes were collected immediately postoperatively and at 6 and 12 months postoperatively . Complications were recorded and grade d by severity . Results : Fourteen distal radius fractures treated with fragment-specific fixation and 85 treated with the volar locking plate system were enrolled . Radial inclination was similar in both cohorts ( 23 degrees versus 25 degrees ) ; however , volar tilt was worse in the fragment-specific fixation cohort ( −10 degrees versus 10 degrees , p < 0.05 ) . The majority ( 63 percent ) of the fragment-specific fixation cohort demonstrated a loss of relative radial length . Grip strength , pinch strength , Michigan H and Outcomes Question naire scores , and most range of motion measurements were superior in the volar locking plate system cohort at 6 months , although not all differences were statistically significant . By 12 months the differences in functional and patient-rated outcomes were smaller , suggesting that the fragment-specific fixation cohort tended to reach the outcomes of the volar locking plate system cohort over time . Complications requiring reoperation were higher in the fragment-specific fixation cohort ( p < 0.05 ) . Conclusions : The volar locking plate system results in more stable fixation and better objective and subjective outcomes early in the postoperative period . It has fewer complications requiring reoperation than fragment-specific fixation
Only the DASH and PRWE have evidence of reliability , validity , and responsiveness in patients with traumatic injuries to the h and and wrist ; other measures either have incomplete evidence or evidence gathered in a nontraumatic population .
Conclusions : The DASH and PRWE both have evidence of reliability , validity , and responsiveness in a h and and wrist trauma population .
Other PROMs used to assess h and and wrist trauma patients do not .
Background : Patient-reported outcome measures ( PROMs ) are important tools for assessing outcomes following injuries to the h and and wrist .
Many commonly used PROMs have no evidence of reliability , validity , and responsiveness in a h and and wrist trauma population .
This systematic review examines the PROMs used in the assessment of h and and wrist trauma patients , and the evidence for reliability , validity , and responsiveness of each measure in this population .