Oh Byung Hun, Kalantan Rawdhah Kamil, Kim Jae Kwang, Shin Young Ho
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
J Bone Metab. 2024 Nov;31(4):316-325. doi: 10.11005/jbm.24.785. Epub 2024 Nov 30.
This study aimed to evaluate the influence of physical performance level on patient-reported outcomes after surgery for distal radius fractures (DRF).
We retrospectively reviewed 157 women with DRF who underwent surgery and completed the short physical performance battery (SPPB) within one month of trauma between January 2019 and August 2022. Patient-reported outcomes were assessed one year postoperatively using the disabilities of the arm, shoulder, and hand (DASH) and patient-rated wrist evaluation (PRWE) questionnaires. Multivariate linear regression analysis was conducted using patient characteristics, fracture type, treatment-related factors, and SPPB results to evaluate the factors associated with patient-reported outcomes.
Multivariate linear regression model revealed that dominant hand involvement (B=7.329; 95% confidence interval [CI], 2.901-11.757; P=0.001) and lower SPPB scores (B=-2.145; 95% CI, -3.194 to -1.096; P<0.001) were significantly associated with higher DASH and PRWE scores.
Physical performance level evaluated using the SPPB was significantly associated with poor clinical outcomes of DRF after surgery. Physicians should implement a systematic approach to enhance physical performance along with appropriate fracture treatment to improve clinical outcomes following surgery for DRF.
本研究旨在评估身体机能水平对桡骨远端骨折（DRF）手术后患者报告结局的影响。
我们回顾性分析了2019年1月至2022年8月期间157例接受手术治疗的DRF女性患者，这些患者在受伤后1个月内完成了简短体能状况量表（SPPB）。术后1年使用手臂、肩部和手部功能障碍（DASH）问卷和患者自评腕关节评估（PRWE）问卷评估患者报告结局。采用患者特征、骨折类型、治疗相关因素和SPPB结果进行多变量线性回归分析，以评估与患者报告结局相关的因素。
多变量线性回归模型显示，优势手受累（B=7.329；95%置信区间[CI]，2.901-11.757；P=0.001）和较低的SPPB评分（B=-2.145；95%CI，-3.194至-1.096；P<0.001）与较高的DASH和PRWE评分显著相关。
使用SPPB评估的身体机能水平与DRF手术后不良临床结局显著相关。医生应采用系统方法提高身体机能，同时进行适当的骨折治疗，以改善DRF手术后的临床结局。
