title: The effects of osteoporosis on functional outcome in patients with distal radius fracture treated  with plate osteosynthesis.
abstract: OBJECTIVE
  The aim of this study was to evaluate the effect of osteoporosis on functional results in patients with distal radius fracture treated with plate osteosynthesis.
  
  
  METHODS
  The study included 37 female patients who underwent osteosynthesis using volar locking plate for distal radius fracture between 2006 and 2008. Diagnosis of osteoporosis was made with bone mineral density measurement. Patients were divided into two groups; Group 1 patients (20 patients; mean age: 56.5 years) had osteoporosis and a mean T-score of -2.6 SD,  and Group 2 patients (17 patients; mean age: 37.1 years) did not have osteoporosis and had a T-score of -0.7 SD. Radiological results were evaluated according to the Stewart's  criteria and activities of daily living were assessed with the modified Gartland and Werley score, the modified Mayo wrist scoring system, and the DASH scoring system.
  
  
  RESULTS
  According to the Stewart's radiological evaluation criteria and modified Gartland and Werley scores, there was no statistically significant difference between Group 1 and 2 (p>0.05). However, a statistically significant difference was found between Group 1 and 2 according to the modified Mayo wrist scoring system and DASH scoring system (p<0.05).
  
  
  CONCLUSIONS
  There was no radiological difference between the osteoporotic and non-osteoporotic patients with distal radius fractures treated with plate osteosynthesis. However, osteoporosis had a negative effect on the results and range of motion of the wrist, and activities of daily living were significantly restricted.
authors.affiliation: Department of Orthopedics and Traumatology, Karapınar State Hospital, Konya, Turkey.
authors.forename: Cem Dinçay
authors.initials: CD
authors.lastname: Büyükkurt
authors.forename: Murat
authors.initials: M
authors.lastname: Bülbül
authors.forename: Semih
authors.initials: S
authors.lastname: Ayanoğlu
authors.forename: Cem Zeki
authors.initials: CZ
authors.lastname: Esenyel
authors.forename: Kahraman
authors.initials: K
authors.lastname: Oztürk
authors.forename: Hakan
authors.initials: H
authors.lastname: Gürbüz
mesh_terms: D000203:Activities of Daily Living; D015519:Bone Density; D001860:Bone Plates; D004185:Disability Evaluation; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods / Q000534:rehabilitation*; D017102:Fracture Healing; D018737:Hand Strength; D006801:Humans; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications / Q000000981:diagnostic imaging; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery; D016059:Range of Motion, Articular; D020127:Recovery of Function; D016896:Treatment Outcome; D014955:Wrist Joint / Q000503:physiopathology