gms | German Medical Science

53. Kongress der Deutschen Gesellschaft für Handchirurgie

Deutsche Gesellschaft für Handchirurgie

11.10. - 13.10.2012, Lübeck

Conservative treatment of distal radius fractures in low demand elderly peoples

Meeting Abstract

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  • author presenting/speaker Neritan Myderrizi - Regional Hospital Durres, Clinic of Orthopaedy and Trauma, Durres, Albania

Deutsche Gesellschaft für Handchirurgie. 53. Kongress der Deutschen Gesellschaft für Handchirurgie. Lübeck, 11.-13.10.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12dgh44

DOI: 10.3205/12dgh44, URN: urn:nbn:de:0183-12dgh442

Veröffentlicht: 9. Oktober 2012

© 2012 Myderrizi.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Elderly patiens ofen do not agree with surgical treatment for fractures of distal radius because of their general condition and low demands. Conservative treatment remain an acceptable option for these patients.

The aim of my study is to find out that conservative treatment is not so efficent but comparing anatomic and functional results it is acceptable.

Methods: This case-control study examined 116 patients with fractures of distal radius over the age of sixty are treated by closed reduction with cast immobilization from 4–6 weeks. The fractures have been classified after AO. Fractures were reduced under acceptable anatomic criteria. Radiographs after reduction, a week later and eight weeks later were analyzed to study: Dorsal tilt, radial inclination and ulnae variance. Anatomical and functional results are assessed.

Results: 116 patients with distal radius fractures are treated by closed reduction. Mean age 70.25 years old (61–88). 86/30 were female/male and 67 left hands.

4 fractures lost reduction in a week and 88 lost anatomic criteria after 8 weeks.

Radiologic results were excellent in10 cases (8.8%), good in17 cases(14.7%), fair in 42 cases (36.2%) and bad in 47 cases (39.2%). Functional results were excellent in 20 (17%) cases, good in 36 (31%) cases, fair in 40 (35%) cases and bad in 20 (17%) cases.

There is a correlation between bad anatomic results and classification

Conclusion: Even though anatomic results of conservative treatment of distal radius fractures in elderly patient are not satisfactory, functional results are better. Conservative treatment remains the treatment of choice in elderly patients