Intra-articular distal radius fractures in elderly patients: a randomized prospective study of casting versus volar plating
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http://hdl.handle.net/10045/77067
Title: | Intra-articular distal radius fractures in elderly patients: a randomized prospective study of casting versus volar plating |
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Authors: | Martinez-Mendez, Daniel | Lizaur-Utrilla, Alejandro | Juan Herrero, Joaquín de |
Research Group/s: | Biotecnología |
Center, Department or Service: | Universidad de Alicante. Departamento de Biotecnología |
Keywords: | Distal radius fracture | Intra-articular fracture | Elderly | Surgical treatment | Conservative treatment | Volar plating |
Issue Date: | 1-Feb-2018 |
Publisher: | SAGE Publications |
Citation: | Journal of Hand Surgery (European Volume). 2018, 43(2): 142-147. doi:10.1177/1753193417727139 |
Abstract: | We compared outcomes in elderly patients with intra-articular distal radius fractures treated by closed reduction and plaster immobilization or open reduction and internal fixation with a volar plate. Ninety-seven patients older than 60 years were randomly allocated to conservative (47 patients) or surgical (50 patients) treatment. Over a 2-year period, we assessed patient-rated wrist evaluation score, DASH (disability arm, shoulder and hand) questionnaire, pain, wrist range of motion, grip strength, and radiological parameters. The functional outcomes and quality of life were significantly better after volar plating fixation compared with conservative treatment. We found that restoration of the articular surface, radial inclination, and ulnar variance affected the outcomes, but the articular step-off did not. Twenty-five per cent of the patients with conservative treatment had secondary loss of reduction. We conclude that surgical plating leads to better outcomes than conservative treatment for elderly patients with intra-articular distal radius fractures. |
URI: | http://hdl.handle.net/10045/77067 |
ISSN: | 1753-1934 (Print) | 2043-6289 (Online) |
DOI: | 10.1177/1753193417727139 |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © The Author(s) 2017 |
Peer Review: | si |
Publisher version: | https://doi.org/10.1177/1753193417727139 |
Appears in Collections: | INV - GIDBT - Artículos de Revistas |
Files in This Item:
File | Description | Size | Format | |
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2018_Martinez-Mendez_etal_JHS-E_final.pdf | Versión final (acceso restringido) | 72,9 kB | Adobe PDF | Open Request a copy |
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