Acceptable parameters for alignment of distal radius fracture with conservative treatment in elderly patients

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
Narihito KodamaYoshitaka Matsusue

Abstract

There is a conflict in the treatment of distal radius fractures in elderly patients, because fracture reduction does not appear to be as strongly associated with functional outcomes as in younger patients. The purpose of this study was to evaluate radiographic findings of acceptable reduction without leading to wrist dysfunction and poor outcomes. Fifty-two active and healthy elderly patients with conservatively managed distal radius fractures were included in the study. They consisted of 7 men and 45 women, all 60 years or older. Radiographic assessment included volar tilt, radial inclination and ulnar variance, and outcome evaluation included the Mayo wrist score and DASH score. As a control group, the preoperative radiographic and clinical outcomes were examined as well for 19 patients older than 60 with malunion, for whom corrective osteotomy was performed because of wrist dysfunction. The radiographic parameters and clinical outcomes were compared between the two groups in a statistical manner. Correlation coefficients of the radiographic parameters with Mayo wrist score and DASH score were analyzed by multiple regression. Volar tilt (mean -1.2°) and ulnar variance (mean 2.5 mm), as well as Mayo wrist score (mean 80.0 poin...Continue Reading

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Citations

Sep 23, 2014·The Journal of Hand Surgery·Yoichi SugiyamaOsamu Obayashi
Jul 21, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·L CaiH Chen
Jun 17, 2015·Journal of Hand and Microsurgery·Valentin NeuhausDavid C Ring
Feb 16, 2017·The Journal of the American Academy of Orthopaedic Surgeons·L Scott LevinNicholas Pulos
Apr 18, 2018·Hand : Official Journal of the American Association for Hand Surgery·Rodrigo Gutiérrez-MonclusFelipe Araya-Quintanilla
Dec 5, 2018·Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association·Rebecca ChessumRob Fenwick
Jul 28, 2016·The Journal of Hand Surgery Asian-Pacific Volume·Jin-Hyung Im, Joo-Yup Lee
Oct 28, 2019·The Journal of Bone and Joint Surgery. American Volume·Brent R DeGeorgeSanjeev Kakar
Feb 28, 2020·Hand : Official Journal of the American Association for Hand Surgery·Jacob E TulipanCarl M Harper
Aug 24, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Ronit WollsteinOrit Palmon
Jul 24, 2018·Case Reports in Orthopedics·Kiyohito NaitoKazuo Kaneko
Apr 2, 2021·Hand : Official Journal of the American Association for Hand Surgery·Nicholas MunarettoPeter C Rhee
Jul 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·A Bobby Chhabra, Baris Yildirim
Sep 18, 2021·Journal of Orthopaedic Trauma·Suman MeddaEben A Carroll
Oct 14, 2021·Plastic and Reconstructive Surgery·DesRaj M ClarkScott M Tintle

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