OUTCOMES OF PATIENTS WITH GERIATRIC DISTAL RADIUS FRACTURES IN RWANDA nagrary@gmail.com

 

OUTCOMES OF PATIENTS WITH GERIATRIC DISTAL RADIUS FRACTURES IN RWANDA

3

Rwanda

Oral or Poster

Globally, distal radius fracture among geriatric population are the most common osteoporotic fractures. They are common among postmenopausal women but also occurs in old males. The treatment and outcomes of distal radius fragility fractures is full of controversies with limited data from limited resource setting. We aimed to assess the outcomes of geriatric patients managed for distal radius fractures at CHUB.

An observational prospective study was conducted enrolling patients aged 65 year and above with distal radius fractures treated at CHUB in Rwanda. Patients were reviewed in outpatient consultation and a quick-DASH score readily available online (https://orthotoolkit.com/quickdash/) was used to evaluate and guide data collection. We described and compared the outcomes and their predictors. A significant p-value was taken at <0.05.

We recruited 80 patients in 5 months, 61.9% were female. The left limb was more (60%). All patients were treated using complete Plaster of Paris, preceded by a backslap depending on limb swelling status. Patients received treatment at a mean time of 5.82 days after injury. The Quick dash score varied between 15.9- 63.6 % (45.17% as mean) the higher was not proportional to poor patient satisfaction (p value <0.05). Non-operative treatment resulted in less complications p value = 0.

We noted that higher score did not reflect poor patient satisfaction, calling for a need for local contextualization.We recommend non-operative treatment was found to be safe among geriatric population and it is hereby recommended ,furthermore we recommend a research adjusting the score according to local daily living activities.