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 .
[Plate fixation with locking screw for distal fractures of the radius].
PURPOSE OF THE STUDY Fractures of the distal radius are common . No one implant has demonstrated superior efficacy in terms of maintaining the reduction over time . We report our experience with plate fixation using a locking screw . MATERIAL AND METHODS Between September 2003 and June 2004 , 67 displaced fractures of the distal radius were treated by plate fixation using the LCP-DRP 2.4 ( Synthès ) . Three different plates ( anterior , posterior , and external ) were used . The patients wore a removable anatomic brace for three weeks . Self-controlled rehabilitation exercises began directly after surgery with mobilization of the digital chains . The Fern and ez , Castaing and AO classifications were noted . Ulnar variance , anteversion of the radial glenoid , radial slope and the alpha angle were measured intraoperatively and at last follow-up to assess maintenance of reduction over time . The DASH test and Green and O'Brien and PRWE scores were used to assess clinical outcome . RESULTS Mean follow-up was eight months . Mean age was 55.8 years . Eight patients were lost to follow-up . The analysis included 59 patients who could respond to the question naires .  Bone healing was achieved at six weeks . There were no cases of secondary displacement nor loss of reduction . The Green and O'Brien score was good or very good for 85 % . The mean DASH was 20.6 and the mean PRWE 32.8 . DISCUSSION The appropriate fixation method for distal fractures of the radius remains a controversial issue , leading to a variety of material s and fixation methods . Primary stability achieved with the locking screw in a plate enables early mobilization associated with more rapid recovery of function . The absence of secondary displacement , irrespective of the quality of the underlying bone enabled us to achieve equivalent results in young patients and older patients with osteoporotic bone . This study also confirmed the preference for the anterior approach , irrespective of the direction of the displacement . To date , no other material has enabled equivalent results . This is a major achievement in terms of fixation stability
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 .