AO Types C3.1 and C3.2 Distal Radius Fractures: Functional Outcomes


The purpose of the current study was to examine the functional outcomes of C3.1 and C3.2 distal radius fractures. A trauma registry was used to identify patients with C3.1 and C3.2 distal radius fractures (n D 33). Clinical follow-up consisted of completion of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and assignment of a Gartland and Werley Demerit Point System score. Average follow-up duration was 62 months. Mean DASH score was 14 points; mean Gartland and Werley score was 6 points. Results were 14 excellent, 12 good, 10 fair, and one poor. Patients regained an average of 78% of the flexion–extension arc, 94% of the pronation–supination arc, and 83% of grip strength compared with the uninjured side. Standardized and uniformly applied attempts at reconstruction of the distal radial articular surface led to successful outcomes in the majority of patients. (Journal of Surgical Orthopaedic Advances 18(3):139–146, 2009)

Raymond A. Pensy, MD, Mary Zadnik Newell, OTR/L, MEd, and W. Andrew Eglseder,
Jr., MD