What is the goal of surgical treatment of elderly distal radius fractures?
- VernacularTitle:老年人桡骨远端骨折后手术处理的目标
- Author:
Leung FRANKIE
- Publication Type:Journal Article
- Keywords:
Distal radius;
Fractures;
Elderly;
Instability;
Osteoporosis
- From:
Chinese Journal of Orthopaedic Trauma
2002;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Distal radial fractures account for 14%of all extremity injuries and can occur as a result of either a high-energy trauma with probable impairme nt to the function of the upper extremity or a low-energy injury commonly seen in osteoporotic elderly.While the comminuted intra-articular distal radial fractures have always been challenging to surgeons,obtaining a stable fixation in the elderly osteoporotic bone might just be equally difficult.In the past,elderly fragility fractures of the distal radius were often treated with manipulation and casting,despite the fact that most would heal with significant shortening and malalignment.The need for a better outcome in this common fracture is recently revisited as newer methods of treatment are devised.The injection of a calcium phosphate cement such as Norian SRS using a minimally invasive technique has been shown to accelerate rehabilitation,although there seems to be little effect in the final radiological appearance.Recently,various locking screws and implants are rapidly gaining in popularity in certain regions.These implants come with screws that directly engage the plate,creating fixed angle bolts and thus offer a better fixation in the osteoporotic bone.Indeed,In the near future,an increasing number of osteoporotic wrist fractures will be treated with surger y and the time has come when we need to rethink about our treatment strategy in dealing with such a common injury.
