Treatment of distal radial fractures in elderly patients
Journal Title: Postępy Nauk Medycznych - Year 2013, Vol 26, Issue 6
Abstract
Fractures of distal radius make up to 30% of all fractures in patients over 50 years of age. Primary goal of treatment of these fractures is preservation of hand and forearm function. Aggressiveness of treatment regimen needs to be tailored to patients comorbidities and preferences. Avoiding complications is of utmost importance. Low mechanical strength of the bone needs to be taken into account. Secondary displacement and implant failure is not rare. Elderly patients, however, have higher tolerance to wrist deformation. Primary treatment method is closed reduction and immobilization in plaster cast. Unstable or displaced fractures require operative stabilization, most commonly with K-wires. Locked plates can provide stable fixation in osteoporotic bone. External fixation is used in the case of severe bone fragmentation. Late result depends on finger motion, therefore metacarpophalangeal joints should not be immobilized. Early range of motion exercises of metacarpophalangeal and interphalangeal joints should be instituted.
Authors and Affiliations
Andrzej Boszczyk, Piotr Zakrzewski, Stanisław Pomianowski
Keywords
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