title: [Functional result in distal radius fractures. Comparison between the severity of the fracture, the treatment of choice and the baseline X-ray parameters].
abstract: BACKGROUND
  The AO classification has a prognostic value and assists physicians in the planning of fracture management. The X-ray data and the DASH questionnaire are used to assess the outcome of radial fractures. A trend towards open treatment, opposite to closed or percutaneous approaches, has been observed in the past ten years.
  
  
  METHODS
  Descriptive study evaluating the functional outcome, with a follow-up from 6-months to one year, using the DASH questionnaire and correlating the outcomes with the treatment used, the type of fracture, the AO and Frykman classifications, and the baseline X-ray parameters. The fracture stability and the treatment of choice were recorded. Patients were grouped according to the treatment used.
  
  
  RESULTS
  A DASH score < or = 20 was considered as good, and > 20 as poor. The questionnaires were applied at the 6- and 12-month follow-up visits, the mean score was 14.46. No statistical difference was found between the good or bad outcomes and the type of treatment. A correlation was found between both the type of fracture and the X-ray parameters and the functional outcome.
  
  
  CONCLUSIONS
  Regardless of the treatment of choice of distal radius fractures, the major goal is to restore the normal X-ray parameters to improve the functional outcome and decrease the complications. No difference was found in the functional outcome among the treatment options used to treat the distal radius fractures. The AO classification is valid as a prognostic indicator and useful to make therapeutic decisions.
authors.affiliation: Residentes de Ortopedia, Hospital Español de México, San Raúil Núm, 89, Pedregal de Santa Ursula Coapa, CP 04600, México, DF. dr.efrain.farias@gmail.com
authors.forename: Efraín
authors.initials: E
authors.lastname: Farías Cisneros
authors.forename: Félix
authors.initials: F
authors.lastname: Gil Orbezo
authors.forename: Cesáreo
authors.initials: C
authors.lastname: Trueba Davalillo
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Jaspeado Reynoso
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D020127:Recovery of Function; D011795:Surveys and Questionnaires; D055815:Young Adult