Effects of Ulnar Styloid and Sigmoid Notch Fractures on Postoperative Wrist Function of Distal Radius Fracture Patients

Study Overview
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Brief Summary
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To study the effects of ulnar styloid and sigmoid notch fractures on postoperative wrist function in patients with distal radius fracture

Detailed Description
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Patients treated for distal radius fracture in the Department of Orthopedic Trauma at the People's Hospital of Peking University will be selected for outpatient follow-up. Evaluation was based on Sartiento's modification of the Gartland and Werley score. Efficacy was assessed with wrist pain as the focus.The follow-up time is one year after the operation。

Official Title
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Effects of Ulnar Styloid and Sigmoid Notch Fractures on Postoperative Wrist Function of Patients With Distal Radius Fracture

Conditions
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Radius Fracture Distal

Intervention / Treatment
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* Procedure: open reduction and internal fixation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: unilateral distal radius fracture with or without ulnar styloid fracture, closed fracture distal radius fracture repaired by internal fixation using a palmar plate age of ≥18 years integral clinical data, a postoperative follow-up period of ≥12 months distal radius fracture with normal union provision of informed consent after receiving an explanation of the purpose of this study Exclusion Criteria: old fracture, pathological fracture, open fracture bilateral distal radius fracture fracture of other parts of the wrist (excluding the ulnar styloid)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| open reduction and internal fixation<br>The volar approach was used for open reduction and internal fixation of distal radius fractures | Procedure: open reduction and internal fixation<br>* The volar approach was used for open reduction and internal fixation of distal radius fractures<br>* Other names: ORIF;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sartiento's modification of the Gartland and Werley score | Sartiento's modification of the Gartland and Werley score included evaluation of residual deformity, subjective evaluation of pain, objective evaluation of range of wrist motion and grip strength, and evaluation of complications of arthritis, neurological symptoms, and finger dysfunction. Efficacy was judged as excellent, good, fair, or poor, and the sum of the above scores was calculated (excellent, 0-2 points; good, 3-8 points; fair, 9-20 points; and poor, ≥21 points) | 1 year after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ulnar wrist pain(VAS score) | Evaluation of ulnar wrist pain based on VAS score.Visual Analogue Scale/Score:A cross line of 10 cm on the paper, 0 at one end of the horizontal line, is painless; the other end is 10, indicating a sharp pain; the middle part indicates a different degree of pain. | 1 year after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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distal radius fracture, sigmoid notch