Factors associated with the incidence of radiocarpal stiffness following management of distal radius fractures surgically

Abstract

Introduction: One of the most common fractures is the distal radius fracture in all the age groups. Among Distal radius fractures, Radiocarpal stiffness is one of the worst complications encountered. This study is to record the incidence and potential risk factors of radiocarpal stiffness associated with distal radius fractures. Method: This is a retrospective study which includes 30 patients diagnosed with distal radius fracture who underwent volar plate fixation. Patient’s details such as basic data, radiological data and postoperative data were documented. The incidence of Radiocarpal joint stiffness during postoperative follow-ups were recorded and factors associated were determined. Result: This study comprised a total of 30 individuals who had their distal radius volar plate fixation. Multiple variables such as preoperative swelling, type of fracture (Intra-articular or Extra-articular), type of fixation (with or without k-wire), post operative radiological changes pertaining to parameters such as volar tilt, Radial inclination and ulnar variance, rehabilitation was corelated with the incidence of Radiocarpal joint stiffness in distal radius fractures. Conclusion: Factors such as intra-articular extension, preoperative severe swelling, use of additional k-wire, unsatisfied volar tilt, improper rehabilitation is associated with a higher incidence of radiocarpal joint stiffness in patients with distal radius fracture. Re-operative risk notification and postoperative precautions are necessary for relevant patients.