Von Matthey Francesca, Rammensee Johannes Rüdiger, Biberthaler Peter, Abel Helen
Department of Trauma Surgery, Klinikum Rechts der Isar, Technische Universität München, 80333 Munich, Germany.
J Clin Med. 2023 Feb 2;12(3):1202. doi: 10.3390/jcm12031202.
Although the most common fracture of the human body, so far, only few data concerning gender-specific outcomes after distal radius fracture exist. Typically, elderly women suffer from DRF due to a low-energy fall because of osteoporosis. The aim of this study was to analyze the outcome after a surgically treated intraarticular DRF with the help of patient-reported outcome measurement (PROM) and with special regard to gender and age impact.
It is a retrospective case-control study in which all patients with an intraarticular DRF were enrolled. The control group was composed of healthy volunteers. Munich Wrist Questionnaire (MWQ) was used as Patient Related Outcome Measurement (PROM) for analyzing the outcome. Moreover, age, gender, handedness, fracture classification and follow-up interval were detected. The functional outcome of the fracture group was compared to a healthy control group. Analyses of gender, age and handedness-specific results compared to the healthy control groups were performed as well.
197 patients with distal radius fracture could be enrolled in the study (134 were female and 63 were male). Women (mean age 62 years) were significantly older than men (mean age 50 years). The control group comprised 110 healthy subjects, 71 females (mean age 56 years) and 39 males (mean age 53 years). The whole fracture group had significantly lower MWQ scores compared to the control group ( < 0.001). The male fracture group (90.6 ± 12.4) and the female fracture group (90.8 ± 11.4) had a significantly worse outcome compared to the corresponding control group ( < 0.001 male and = 0.034 female). Although significantly younger, the male patients had a similar outcome compared to the female patients.
Even elderly patients can reach the preoperative level after operative treatment of an intraarticular distal radius fracture. Although significantly younger than the female patients, men have significantly worse functional outcomes compared to their control and cannot perform better than the significantly older female patients. Gender might influence the outcome as well; however, age seems to have a greater impact on the outcome than gender.
虽然桡骨远端骨折是人体最常见的骨折，但迄今为止，关于桡骨远端骨折后性别特异性预后的数据仍然很少。通常，老年女性因骨质疏松导致低能量跌倒而发生桡骨远端骨折。本研究的目的是借助患者报告结局测量（PROM）分析手术治疗关节内桡骨远端骨折后的预后，并特别关注性别和年龄的影响。
这是一项回顾性病例对照研究，纳入了所有关节内桡骨远端骨折患者。对照组由健康志愿者组成。使用慕尼黑腕关节问卷（MWQ）作为患者相关结局测量（PROM）来分析预后。此外，还检测了年龄、性别、利手、骨折分类和随访间隔。将骨折组的功能结局与健康对照组进行比较。还对与健康对照组相比的性别、年龄和利手特异性结果进行了分析。
197例桡骨远端骨折患者纳入本研究（134例女性，63例男性）。女性（平均年龄62岁）明显比男性（平均年龄50岁）年龄大。对照组包括110名健康受试者，71名女性（平均年龄56岁）和39名男性（平均年龄53岁）。与对照组相比，整个骨折组的MWQ评分显著更低（<0.001）。与相应对照组相比，男性骨折组（90.6±12.4）和女性骨折组（90.8±11.4）的预后明显更差（男性<0.001，女性=0.034）。尽管男性患者明显更年轻，但与女性患者相比，其预后相似。
即使是老年患者，在接受关节内桡骨远端骨折手术治疗后也能达到术前水平。尽管男性患者比女性患者明显更年轻，但与对照组相比，其功能结局明显更差，且表现不如明显年龄更大的女性患者。性别可能也会影响预后；然而，年龄似乎比性别对预后的影响更大。
