Ahmed Ezzat1, Santosh Baliga2, Carol Carnegie2, Alan Johnstone2. 1. University of Aberdeen, Aberdeen AB24 3FX, United Kingdom. 2. University of Aberdeen, Aberdeen AB24 3FX, United Kingdom; Department of Trauma Orthopaedics, Aberdeen Royal Infirmary, NHS Grampian, Aberdeen AB25 2ZN, United Kingdom.
Abstract
BACKGROUND: The AAOS guidelines are unable to recommend for or against operative treatment of distal radius fractures in older patients. AIMS: This study compares the outcomes of older patients (≥60 years) against a cohort of younger patients treated with volar locking plate (VLP) fixation. METHODS: We assessed 78 patients, comparing range of movement (ROM), grip and pinch strength, subjective Visual Analogue Score (VAS) for pain and function and composite outcome scores. RESULTS: There was no difference in clinical outcomes between the two groups at six months. CONCLUSION: Open reduction and VLP for distal radius fractures gives comparable outcomes in the older population.
BACKGROUND: The AAOS guidelines are unable to recommend for or against operative treatment of distal radius fractures in older patients. AIMS: This study compares the outcomes of older patients (≥60 years) against a cohort of younger patients treated with volar locking plate (VLP) fixation. METHODS: We assessed 78 patients, comparing range of movement (ROM), grip and pinch strength, subjective Visual Analogue Score (VAS) for pain and function and composite outcome scores. RESULTS: There was no difference in clinical outcomes between the two groups at six months. CONCLUSION: Open reduction and VLP for distal radius fractures gives comparable outcomes in the older population.
Entities:
Keywords:
Age related outcomes; Distal radius fracture; Open reduction internal fixation; Osteoporosis; Volar locking plate
Authors: R G Crilly; L Delaquerrière Richardson; J H Roth; A A Vandervoort; K C Hayes; R A Mackenzie Journal: Age Ageing Date: 1987-05 Impact factor: 10.668