Open AccessComparison of Hand Grip Strength in patients with Distal Radius Fracture that are treated by Closed Reduction with Cast versus Open Reduction and Internal Fixation in Haji Adam Malik Hospital Medan
Author(s) -
Adri Yandra Hidayat,
Nino Nasution,
Iman Dwi Winanto
Publication year - 2020
Publication title -
international journal of chemtech research
Language(s) - English
Resource type - Journals
eISSN - 2455-9555
pISSN - 0974-4290
DOI - 10.20902/ijctr.2019.130110
Subject(s) - internal fixation , medicine , grip strength , reduction (mathematics) , fixation (population genetics) , surgery , hand strength , wrist , orthodontics , population , physical therapy , mathematics , geometry , environmental health
Background- Distal radius fracture is quite often found in emergency settings. There aremany options to assess the outcome of treatment in distal radius fracture cases. One option that can bedone is to measure the strength of the injured handgrip. Patient often complained about the decrease inability to grasp and rotate and bear the burden after distal radius fracture. Objective-To find out thecomparison of the hand grip strength in patients with distal radius fractures that are treated by closedreduction and casting to open reduction and internal fixation. Material and Methods-The study wasconducted in a retrospective, observational analytic study with a cross sectional approach, whichaimed to analyze the comparison of hand grip strength in patients with distal radius fractures that aretreated by closed reduction and casting to open reduction and internal fixation12 months aftertreatment. Target population was all patients with distal radius fracture who underwent closedreduction and casting and open reduction and internal fixation in all inpatient at Adam Malik Hospital,Medan. Results- In this study the distribution of the number of samples was as many as 57 subjectswith 17 are women (29.8%) and 40 are men (70.2%). 18 years old is the youngest age of the samplesand the oldest is 76 years old with a mean of 32.77 ± 14.03 years. Based on the mechanism of injury :motor vehicle accidents is the most common mechanism of injury, it accounts 45 people (78.9%).According to time arrivals mostly patient came <24 hours. There are 11 extraarticular fractures (19.3%) and 46 intraarticular fractures (80.7%), there were 24 people (42.1%) fracture in the right handand 33 people (57.9%) in the left hand. Statistical analysis shows that there is no difference in the ratioof hand grip strength with significance value of (p value) 0.881 (> 0.05). Conclusion- There were nosignificant differences in the clinical outcome of the patient's hand grip strength in patients that aretreated with closed reduction and casting to open reduction intenal fixation after 12 months posttheraphy.