Association Between Body Mass Index and Functional Outcomes in Elderly Patients with Extra-articular Distal Radius Fracture: A Prospective Observational Study

dc.creatorGutierrez-Espinoza, Hector
dc.creatorOlguin-Huerta, Cristian
dc.creatorCuyul-Vasquez, Ivan
dc.creatorRios-Riquelme, Mario
dc.creatorValenzuela-Fuenzalida, Juan
dc.creatorAraya-Quintanilla, Felipe
dc.date2021
dc.date2021-10-04T18:54:37Z
dc.date2021-10-04T18:54:37Z
dc.date.accessioned2022-10-18T14:52:04Z
dc.date.available2022-10-18T14:52:04Z
dc.identifierINDIAN JOURNAL OF ORTHOPAEDICS,Vol.55,1009-1014,2021
dc.identifierhttp://repositoriodigital.uct.cl/handle/10925/4414
dc.identifier10.1007/s43465-021-00358-w
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/4443959
dc.descriptionIntroduction The association between body mass index (BMI) and functional outcomes is unknown in elderly individuals with distal radius fracture (DRF). Objective The aim of this study is to evaluate if there is association between BMI and functional outcomes in patients older than 60 years with DRF treated conservatively. Materials and Methods A prospective observational study was performed. A total of 228 patients with extra-articular DRF were prospectively recruited. All patients were categorized by their BMI as normal, overweight, or obese. Functional outcomes were assessed after cast removal and at 1-year follow-up. The Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH), and Patient-Rated Wrist Evaluation (PRWE) questionnaires were used to assess upper limb and wrist/hand function, respectively, while the Jamar Dynamometer was used to assess grip strength. Results Of the total number of patients, 184 were female (80.7%), 87 were overweight (38.2%), and 111 were obese (48.7%). After cast removal, the correlations between BMI and functional outcomes were DASH 0.06 (p = 0.578), PRWE 0.04 (p = 0.692), and grip strength - 0.02 (p = 0.763). At 1-year follow-up, the correlations were DASH 0.55 (p = 0.036), PRWE 0.32 (p = 0.041), and grip strength - 0.21 (p = 0.043). Conclusion This study suggests that at 1-year follow-up, there was a low-to-moderate association between BMI and poor functional outcomes in elderly patients with extra-articular DRF treated conservatively.
dc.languageen
dc.publisherSPRINGER HEIDELBERG
dc.sourceINDIAN JOURNAL OF ORTHOPAEDICS
dc.subjectRadius fractures
dc.subjectElderly
dc.subjectRecovery of function
dc.subjectBody mass index
dc.subjectObservational study
dc.subject
dc.titleAssociation Between Body Mass Index and Functional Outcomes in Elderly Patients with Extra-articular Distal Radius Fracture: A Prospective Observational Study
dc.typeArticle


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