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Chinese Journal of Clinicians(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (03): 184-186. doi: 10.3877/cma.j.issn.1674-0785.2019.03.006

Special Issue:

• Clinical Research • Previous Articles     Next Articles

Treatment of distal radius fractures in the elderly

Xunzhe Tong1,(), Xiaolin Zhao1   

  1. 1. Department of Orthopedics, Beijing Geriatric Hospital, Beijing 100095, China
  • Received:2018-11-10 Online:2019-02-01 Published:2019-02-01
  • Contact: Xunzhe Tong
  • About author:
    Corresponding author: Tong Xunzhe, Email:

Abstract:

Objective

To find the best treatment method by comparing the curative effect of surgical and non-surgical treatment of distal radius fractures in the elderly.

Methods

From March 2012 to September 2016, 128 cases of distal radius fractures in the elderly from Beijing Geriatric Hospital were treated by manual reduction and plaster external fixation (non-operative group, 72 cases) and open reduction and internal fixation (operative group, 56 cases). According to the AO classification, there were 33 cases of type A, 23 cases of type B, and 16 cases of type C in the non-operative group, and there were 10 cases of type A, 12 cases of type B, and 34 cases of type C in the operative group. The Chi-square test was used to compare the excellent/good rate between the non-operative group and operative group.

Results

One hundred and nineteen patients were followed for 6 to 24 months, with an average period of (15.2±1.9) months. The wrist function was assessed according to the Cooney's functional scoring criteria, and the excellent/good rate was 83.3% in the non-operative group and 94.6% in the operation group.

Conclusion

For elderly patients with distal radius fracture, the excellent/good rate of open reduction and internal fixation is higher than that of manual reduction and gypsum external fixation. For stable or relatively stable distal radius fracture, manual reduction is still the preferred treatment.

Key words: Distal radius fracture, Elderly, Gypsum external fixation, Open reduction and internal fixation

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