Treatment of Distal Radius Fractures in Women Older than 80 Years: A Preliminary Report of Functional and Radiographic Outcomes after Open Reduction and Internal Fixation.

Autor: Schindelar LE; Rothman Orthopaedics, Philadelphia, Pennsylvania, United States., McEntee RM; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, United States., Gallivan RE; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, United States., Katt B; Rothman Orthopaedics, Philadelphia, Pennsylvania, United States., Beredjiklian PK; Rothman Orthopaedics, Philadelphia, Pennsylvania, United States.
Jazyk: angličtina
Zdroj: Journal of hand and microsurgery [J Hand Microsurg] 2021 Sep 23; Vol. 15 (2), pp. 116-123. Date of Electronic Publication: 2021 Sep 23 (Print Publication: 2023).
DOI: 10.1055/s-0041-1729439
Abstrakt: Background  Distal radius fractures are one of the most common fractures seen in the elderly. The management of distal radius fractures in the elderly, especially patients older than 80 years, has not been well defined. The purpose of this study was to evaluate operative treatment of distal radius fractures in patients older than 80 years to determine functional outcomes and complication rates. Materials and Methods  A retrospective review was performed to identify patients 80 years or older who were treated for a distal radius fracture with open reduction and internal fixation (ORIF). Medical records were reviewed for demographics, medical history, functional outcomes including quick Disabilities of the Arm, Shoulder, and Hand (qDASH), radiographs, and postoperative complications. Results  There were 40 patients included for review. Average age was 84 years. The preoperative qDASH score was 69. At 6 months follow-up, the postoperative qDASH score was 13 ( p  < 0.001). There were five (12.5%) complications reported postoperatively. All fractures healed with adequate radiographic alignment and there were no hardware failures. Conclusion  Distal radius fractures in patients older than 80 years treated with ORIF have good functional outcomes and low complication rates. Increased functionality and independence of the elderly, as well as updated implant design can lead to the effective surgical management of these patients. When indicated from a clinical perspective, operative fixation of distal radius fractures should be considered in patients older than 80 years.
Competing Interests: Conflict of Interest None declared.
(Society of Indian Hand Surgery & Microsurgeons. All rights reserved.)
Databáze: MEDLINE
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