Next Article in Journal
Influence of a Specific Aquatic Program on Social and Gross Motor Skills in Adolescents with Autism Spectrum Disorders: Three Case Reports
Previous Article in Journal
The Development of a Personalised Training Framework: Implementation of Emerging Technologies for Performance
Open AccessArticle

Comparison between Surgical and Conservative Treatment for Distal Radius Fractures in Patients over 65 Years

Department of General Surgery and Medical Surgical Specialties—Section of Orthopaedic and Traumatology, AOU Policlinico—Vittorio Emanuele, University of Catania, 95123 Catania, Italy
*
Author to whom correspondence should be addressed.
J. Funct. Morphol. Kinesiol. 2019, 4(2), 26; https://doi.org/10.3390/jfmk4020026
Received: 12 April 2019 / Revised: 6 May 2019 / Accepted: 15 May 2019 / Published: 17 May 2019
Background: Fractures of the distal radius (DRF) are the most common orthopedic injuries, representing one of the typical fractures indicating underlying osteoporosis. The aim of the study was to compare conservative and surgical treatment, analyzing quality of life and clinical outcome in an over 65 years old population. Methods: Ninety one patients were divided into two groups: the ORIF group (39 patients) underwent surgery, and the conservative group (52 patients) was treated conservatively. The clinical and functional outcomes of all patients were evaluated using Short Form 36 (SF36), Modified Mayo Wrist Score (MMWS), Disability of the Arm Shoulder Hand (DASH), and Visual Analogue Scale (VAS). Range of motion at the joint was measured and compared with the contralateral healthy wrist. Results: No significant difference was found between the overall SF36 score, DASH score, MMWS, and VAS results. Role limitation was significantly better in the surgical group (p < 0.05), and complication incidence was significantly higher (p < 0.05) in the conservative group. Conclusion: The results of this study conform to recent literature, suggesting that a surgical reconstruction of the radius articular surface in an elderly population provides no clear clinical advantage. Treatment decisions must arise from careful diagnoses of the fracture and communication with the patient. View Full-Text
Keywords: distal radius fractures; elderly; aging fracture; casting; ORIF distal radius fractures; elderly; aging fracture; casting; ORIF
MDPI and ACS Style

Testa, G.; Vescio, A.; Di Masi, P.; Bruno, G.; Sessa, G.; Pavone, V. Comparison between Surgical and Conservative Treatment for Distal Radius Fractures in Patients over 65 Years. J. Funct. Morphol. Kinesiol. 2019, 4, 26.

Show more citation formats Show less citations formats

Article Access Map by Country/Region

1
Back to TopTop