HIGH RATES OF REDUCTION IN CONSERVATIVE TREATMENT OF GERIATRIC DISTAL RADIUS FRACTURES
[ X ]
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: The aim of this study is to evaluate the earlyreduction results in conservative treatment of distal radialfractures in geriatric patients.Material and Methods: Patients aged over 60 years withdisplaced distal radius fractures who were treated withconservative treatment were included in the study. Follow-up Xraysof the patients at the 1st week were evaluated. Patients’ datawere obtained from hospital information management system.We evaluated the patient's age, sex, fracture side, the mechanismof injury, type of AO/OTA classification, loss of reduction, andtreatment methods.Results: One hundred and nineteen patients of 132 geriatricpatients with distal radius fracture were elligible for theinclusion criteria. 97.6% of patients with AO type 2R3Afracture were found to be within acceptable degrees of reductionin the 1st week of conservative treatment. Seven patients had aloss of reduction. Six had a high degree of dorsal angulation,and one had over 2mm step off. There was no significantdifference in terms of conservative treatment success betweenextra-articular fractures and partial and complete intra-articularfractures (p=0.584).Conclusion: We demonstrated that initial closed reduction andcast immobilization is an effective treatment method in themanagement of elderly patients with AO type 2R3A, 2R3B, and2R3C distal radius fractures.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Geriatri ve Gerontoloji, Ortopedi
Kaynak
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
2