Department of Orthopaedic Surgery, Ajou University College of Medicine, Suwon, South Korea.
Department of Orthopaedic Surgery, Eulji Medical Center, Eulji University College of Medicine, Seoul, South Korea.
Bone Joint J. 2020 Jun;102-B(6):744-748. doi: 10.1302/0301-620X.102B6.BJJ-2019-0859.R2.
The aim of this study was to compare patient-reported outcome measures (PROMs) and the Single Assessment Numerical Evaluation (SANE) score in patients treated with a volar locking plate for a distal radial fracture.
This study was a retrospective review of a prospective database of 155 patients who underwent internal fixation with a volar locking plate for a distal radial fracture between August 2014 and April 2017. Data which were collected included postoperative PROMs (Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) and Patient-Rated Wrist Evaluation (PRWE)), and SANE scores at one month (n = 153), two months (n = 155), three months (n = 144), six months (n = 128), and one year (n = 73) after operation. Patients with incomplete data were excluded from this study. Correlation and agreement between PROMs and SANE scores were evaluated. Subgroup analyses were carried out to identify correlations according to variables such as age, the length of follow-up, and subcategories of the PRWE score.
The Pearson correlation coefficient (r) between PROMs and SANE scores was -0.76 (p < 0.001) for DASH and -0.72 (p < 0.001) for PRWE, respectively. Limits of agreement between PROMs and '100-SANE' scores were met for at least 93% of the data points. In subgroup analysis, there were significant negative correlations between PROMs and SANE scores for all age groups and for follow-up of more than six months. The correlation coefficient between PRWE subcategories and SANE score was -0.67 (p < 0.001) for PRWE pain score and -0.69 (p < 0.001) for PRWE function score, respectively.
We found a significant correlation between postoperative SANE and PROMs in patients treated with a volar locking plate for a distal radial fracture. The SANE score is thus a reliable indicator of outcome for patients who undergo surgical treatment for a radial fracture. Cite this article: 2020;102-B(6):744-748.
本研究旨在比较掌侧锁定板治疗桡骨远端骨折患者的患者报告结局测量（PROMs）和单一评估数值评估（SANE）评分。
这是一项对 2014 年 8 月至 2017 年 4 月期间接受掌侧锁定板内固定治疗桡骨远端骨折的 155 例患者前瞻性数据库的回顾性研究。收集的数据包括术后 PROMs（上肢功能障碍问卷（DASH）和患者腕部评估量表（PRWE））和术后一个月（n=153）、两个月（n=155）、三个月（n=144）、六个月（n=128）和一年（n=73）的 SANE 评分。未完成数据的患者被排除在本研究之外。评估了 PROMs 和 SANE 评分之间的相关性和一致性。进行了亚组分析，根据年龄、随访时间和 PRWE 评分的亚组等变量确定相关性。
DASH 与 SANE 评分的 Pearson 相关系数（r）为-0.76（p<0.001），PRWE 与 SANE 评分的 r 为-0.72（p<0.001）。PROMs 和“100-SANE”评分之间的界限符合至少 93%的数据点。在亚组分析中，所有年龄组和随访时间超过 6 个月的患者，PROMs 和 SANE 评分之间均存在显著的负相关。PRWE 疼痛评分和功能评分与 SANE 评分的相关系数分别为-0.67（p<0.001）和-0.69（p<0.001）。
我们发现掌侧锁定板治疗桡骨远端骨折患者术后 SANE 与 PROMs 之间存在显著相关性。因此，SANE 评分是桡骨骨折手术治疗患者结局的可靠指标。
