A review article on factors affecting outcomes of distal radius fractures in adults

Vol 4 | Issue 1 | Jan-Jun 2019 | page:8-22  | Kshitij Agarwal,  Ashok Shyam, Atul Patil, Chetan Pradhan, Chetan Puram, Madhav Borate, Parag Sancheti

Authors: Kshitij Agarwal [1],  Ashok Shyam [1], Atul Patil [1], Chetan Pradhan [1], Chetan Puram [1], Madhav Borate [1], Parag Sancheti [1].

[1] Department Of Orthopaedics, Sancheti Institute For Orthopaedics and Rehabilitation, Pune, India.

Address of Correspondence
Dr. Kshitiz Agarwal,
Sancheti Institute for Orthopaedics and Rehabilitation, 16, Shivaji Nagar, Pune, Maharashtra, India. [411005]
E-mail: doc.ashokshyam@gmail.com


Background: Fractures of lower end radius are one of the most common fractures of the upper extremity. With this fracture being such common in occurrence, it is important to identify the factors which are associated with and are crucial for obtaining favourable outcomes. The current study aimed at studying the recent literature on factors associated with outcome of distal radius fractures in adults.
Methods: Recent articles were searched on search engines such as PubMed, Google Scholar and additionally by checking references of various articles.
Results: Total of 13 recent articles on various factors associated with outcome of distal radius fractures in adults were studied. Review suggested radiological parameters especially radial height and palmar tilt are important predictors of outcome so they should be restored properly during the treatment. Increasing age is also associated with worse functional outcomes. Continuation of bisphophonates therapy in conservatively managed distal radius fractures in post menopausal women does not adversely affect its outcome.
Keywords: Patient outcomes, socioeconomic factors, distal radius fractures, outcome predictor, radiological parameters.


1. Colles A. On the fracture of the carpal extremity of the radius. Edinburgh Med Surg 1814;10:182–6.
2. Bacorn RW, Kurtzke JF: Colles’ Fracture: A study of two thousand cases from the New York states Compensation Board. J Bone Joint Surg 1953; 35A: 643658.
3. Fernandez DL: Correction of posttraumatic wrist deformity in adults by osteotomy, bone grafting and internal fixation. J Bone Joint Surg 1982;64A:1164 – 1178
4. Zemel NP: The prevention and treatment of complications from fractures of the distal radius and ulna. Hand Clin. 1987;3:1 – 11
5. Chen NC, Jupiter JB. Management of distal radial fractures. J Bone Jt Surg Am 2007Sep;89(9):2051e62.
6. Orbay JL, Fernandez DL. Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. J Hand Surg Am 2004 Jan;29(1):96e102.
7. Rozental TD, Blazar PE, Franko OI, Chacko AT, Earp BE, Day CS. Functional outcomes for unstable distal radial fractures treated with open reduction and internal fi xation or closed reduction and percutaneous fixation. A prospective randomized trial. J Bone Jt Surg Am 2009 Aug;91(8):1837e46.
8. Jessica L. Truong, Chris Doherty, Nina Suh (2017)The Effect of Socioeconomic Factors on Outcomes of Distal Radius Fractures: A Systematic Review, Journal of American association of hand surgery DOI: 10.1177/1558944717735945
9. Jonathan Cowie, Raymond Anakwe, Margaret McQueen (2015) Factors associated with one-year outcome after distal radial fracture treatment, Journal of Orthopaedic Surgery 2015;23(1):24-8
10. C. E. Plant, N. R. Parsons, M. L. Costa (2017) Do radiological and functional outcomes correlate for fractures of the distal radius?, The bone and joint journal doi:10.1302/0301-620X.99B3. 35819
11. Young Hak Roh, Jung Ho Noh, Hyun Sik Gong, Goo Hyun Baek (2017) Effect of low appendicular lean mass, grip strength, gait speed on the functional outcome after surgery for distal radius fractures ,Arch Osteoporos DOI 10.1007/s11657-017-0335-2
12. M. Å. Wadsten, G. O. Sjödén1, G. G. Buttazzoni, C. Buttazzoni, E. Englund and A. S. Sayed- Noor (2017) The influence of late displacement in distal radius fractures on function, grip strength, range of motion and quality of life, The Journal of Hand Surgery (European Volume)https://doi.org/10.1177/1753193417721446
13. M. M. E. Wijffels, P. Krijnen, I. B. Schipper (2017),Clinical DRUJ instability does not influence the long‑term functional outcome of conservatively treated distal radius fractures,Eur J Trauma Emerg Surg (2017) 43:227–23,DOI 10.1007/s00068-015-0627-4
14. Dr. Vijay Anand, Dr. Dilip Kumar Naidu and Dr. Sriram Thanigai (2017),Effect of calcitonin in the outcome of distal radial fractures in elderly patients, International Journal of Orthopaedics Sciences 2017; 3(3): 27 29 DOI:http://dx.doi.org/10.22271/ortho.2017.v3.i3a.06
15. Carlo Gamba& Felipe Andrés Mingo Fernandez& Marta Cuenca Llavall & Xavier Lizano Diez Fernando Santana Perez(2017), Which immobilization is better for distal radius fracture? A prospective randomized trial, International Orthopaedics (SICOT) DOI 10.1007/s00264-017-3518-y
16. Swart E, tang P (2017), Effect of ligamentous injuries on outcomes of surgically treated distal radius fractures, American Journal of orthopaedics 01 Jan 2017, 46(1):E41-E46
17. Dario Perugia,mattio guzzini, daniele mazza, carlo lorio, Carolina civetenga, andrea ferrati (2017),Comparison between Carbon-Peek volar locking plates and titanium volar locking plates in the treatment of distal radius fractures, injuy, DOI:https://doi.org/10.1016/S0020-1383(17)30653-8
18. Stefan Quadlbauer, MD Christoph Pezzei, MD1 Josef Jurkowitsch, MD,Brigitta Kolmayr, MSc Tina Keuchel, MD Daniel Simon Thomas Hausner, MD, Martin Leixnering, MD (2017),Early Rehabilitation of Distal Radius Fractures Stabilized by Volar Locking Plate: A Prospective Randomized Pilot Study,J Wrist Surg 2017;6:102–112.
19. Kristin E. Shoji, Brandon E. Earp, Tamara D. Rozental (2017), The Effect of Bisphosphonates on the Clinical and Radiographic Outcomes of Distal Radius Fractures in Women, The Journal of Hand Surgery, ISSN 0363-5023, https://doi.org/10.1016/j.jhsa.2017.09.006.

How to Cite this Article: Agarwal S, Shyam A, Patil A, Pradhan C, Puram C, Borate M, Sancheti P. A review article on factors affecting outcomes of distal radius fractures in adults. Journal of Orthopaedic and Rehabilitation 2019 Jan-Jun; 4(1):8-22.

 (Abstract)      (Full Text HTML)      (Download PDF)