Artikel
Conservative treatment of distal radius fractures in low demand elderly peoples
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Autoren
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Neritan Myderrizi
- Regional Hospital Durres, Clinic of Orthopaedy and Trauma, Durres, Albania
| Veröffentlicht: | 9. Oktober 2012 |
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Gliederung
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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
