Treatment options of unstable distal radial fractures in elderly patients

VernacularTitle:老年人桡骨远端不稳定骨折治疗方法的比较
Author: Wei ZHANG ; Biao WANG
Publication Type:Journal Article
Keywords: Radiul fracture; Casts,surgical; Fracture fixation
From: Chinese Journal of Geriatrics 2010;29(7):563-565
CountryChina
Language:Chinese
Abstract: Objective To study the advantage and disadvantage of different treatments of unstable distal radial fractures in elderly patients. Methods In the period from August 2005 to January 2010, 55 elderly patients with unstable d istal radial fractures were treated with manual diaplasis and external plaster splint fixation, operation and internal plate fixation, or external fixation. Clinical outcomes were evaluated by Gartland-Werley wrist scoring systems and questionnaire of the disabilities of the Arm, Shoulder and Hand (DASH). We used SPSS13.0 software package for statistical analysis. Results Compared with the manual diaplasis group, the operation and internal plate fixation group or external fixation group was better in Gartland-Werley scores, the differences were statistically significant (P<0.05), but there were no differences in DASH scores among the 3 groups. Conclusions The treatment of unstable distal radial fractures in elderly patients should be chosen based on the characteristics of the fractare and patients desire.