Long-term outcome of octogenarians with non-operatively treated distal radius fractures
| Autor: | Charlotte J. L Molenaar, Jefrey Vermeulen, Niels W. L. Schep, Freek A van Brussel, Eva A.K. van Delft, Karlijn J. van Stralen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
long-term functional
medicine.medical_specialty octogenarians business.industry Radiography distal radius fracture Non operative treatment non-operative treatment Wrist elderly Surgery lcsh:RD701-811 Primary outcome medicine.anatomical_structure lcsh:Orthopedic surgery Deformity medicine Distal radius fracture In patient medicine.symptom business Fracture type |
| Zdroj: | Journal of Orthopedics, Traumatology and Rehabilitation, Vol 11, Iss 1, Pp 57-61 (2019) |
| ISSN: | 0975-7341 |
| Popis: | Introduction: Distal radius fractures in patients over 80 years old are traditionally treated non-operatively. The aim of this study is to evaluate patient-reported outcome in octogenarians treated non-operatively for a distal radius fracture. Methods: Retrospective case study of all consecutive patients over 80 years old, treated non-operatively for a distal radius fracture after 1 year. The primary outcome was evaluated by the patient-rated wrist evaluation (PRWE) and quick disability of the arm, shoulder, and hand (qDASH) questionnaire, which were collected prospectively. Secondary outcomes were radiographic characteristics. Results: A total of 124 patients were included, male/female: 4/120, median age of 85 years. Fracture types were mainly Type A and C. The median follow-up was 1.3 years, 18 patients died and 6 patients were lost to follow-up for other reasons. The median PRWE score after follow-up was 3.25. Median qDASH score was 6.82. Only redisplacement after 1 week was associated with poorer outcome. Conclusion: The overall long-term patient-reported outcome of octogenarians with non-operatively treated distal radius fractures with or without deformity is excellent. |
| Databáze: | OpenAIRE |
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