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Functional Outcomes of Distal Radius Fractures According to Surgical Technique: A Retrospective Study Using the DASH
Rami Haroun1,2, Anthony Hassoun1,2, Rita Khalil1,2
1School of Medicine and Medical Sciences Holy Spirit University of Kaslik.
Orthopedic Reviews
|May 15, 2026
Summary
Closed reduction for distal radius fractures showed the best functional outcomes, while DVR techniques resulted in poorer results. Tailoring surgical methods to patient needs is crucial for optimal recovery.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Research
- Rehabilitation Medicine
Background:
- Distal radius fractures are prevalent injuries impacting upper limb function.
- Treatment selection for these fractures significantly influences patient outcomes.
- The Disabilities of the Arm, Shoulder, and Hand (DASH) score is a key metric for assessing functional recovery.
Purpose of the Study:
- To investigate the correlation between different surgical techniques and DASH scores in distal radius fracture patients.
- To compare the functional outcomes associated with closed reduction, DVR, Kapandji technique, and percutaneous pinning.
- To identify optimal surgical strategies for improved patient satisfaction and recovery.
Main Methods:
- Retrospective cohort analysis of 140 patients treated for distal radius fractures (2017-2022).
- Data collection via phone interviews using the DASH questionnaire and review of clinical records.
- Evaluation of four surgical methods: closed reduction, DVR (dorsal volar radial), Kapandji technique, and percutaneous pinning.
Main Results:
- Significant variations in DASH scores were observed across the surgical techniques.
- Closed reduction demonstrated the lowest DASH scores, indicating superior functional outcomes.
- The DVR technique showed the highest DASH scores, correlating with poorer functional results.
Conclusions:
- Surgical technique selection critically impacts functional recovery and patient satisfaction in distal radius fracture management.
- Individual patient factors and specific fracture characteristics should guide treatment decisions.
- Standardized surgical and rehabilitation protocols are needed to optimize outcomes for distal radius fractures.
