Badaruddin Sahito, Dileep Kumar, Syed Mohammad Tariq, Sunel, Nauman Hussain, Syed Mujtaba Shah.
Reflex Sympathetic Osteodystrophy / Complex Regional Pain Syndrome: A Neglected Complication of Distal Radius Fracture.
J Surg Pak Jan ;23(1):17-20.

Objective: To assess the occurrence of reflex sympathetic osteodystrophy following different treatment modalities for distal radius fracture. Study design: Cross sectional study. Place & Duration of study: Department of Orthopaedic Surgery, Dow University of Health Sciences / Civil Hospital Karachi, from April 2013 to August 2017. Methodology: Patients treated for distal radius fractures were enrolled from outpatient department. They were assessed for reflex sympathetic osteodystrophy on the basis of history, clinical examination and radiograph at 4 weeks, 6 weeks and 10 weeks after treatment. Only those patients who had acute complex regional pain syndrome (CRPS), were included. Results: Eighty-four patients with distal radius fractures were treated either conservatively or with orthofix and plating. Twenty patients treated conservatively, four with orthofix and K-wire and two with plating, developed reflex sympathetic osteodystrophy (RSO), however frequency of reflex sympathetic osteodystrophy with respect to treatment method used was statistically insignificant (p>0.05). Conclusions: Reflex sympathetic osteodystrophy was one of the common complications of distal radius fracture found in this study. Different treatment modalities used for this condition did not affect the outcome.

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