Long-term outcome of octogenarians with non-operatively treated distal radius fractures

Autor: Freek A van Brussel, Eva A. K van Delft, Charlotte J. L Molenaar, Karlijn J van Stralen, Niels W. L Schep, Jefrey Vermeulen
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Orthopedics, Traumatology and Rehabilitation, Vol 11, Iss 1, Pp 57-61 (2019)
Druh dokumentu: article
ISSN: 0975-7341
DOI: 10.4103/jotr.jotr_24_19
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.
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