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

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العنوان: Comparison between Surgical and Conservative Treatment for Distal Radius Fractures in Patients over 65 Years
المؤلفون: Gianluca Testa, Andrea Vescio, Paola Di Masi, Giulio Bruno, Giuseppe Sessa, Vito Pavone
المصدر: Journal of Functional Morphology and Kinesiology, Vol 4, Iss 2, Pp 26-0 (2019)
بيانات النشر: MDPI AG, 2019.
سنة النشر: 2019
المجموعة: LCC:Diseases of the musculoskeletal system
مصطلحات موضوعية: distal radius fractures, elderly, aging fracture, casting, ORIF, Diseases of the musculoskeletal system, RC925-935
الوصف: 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.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2411-5142
68562527
Relation: https://www.mdpi.com/2411-5142/4/2/26; https://doaj.org/toc/2411-5142
DOI: 10.3390/jfmk4020026
URL الوصول: https://doaj.org/article/68562527b11d475ba8c893c081c30d90
رقم الانضمام: edsdoj.68562527b11d475ba8c893c081c30d90
قاعدة البيانات: Directory of Open Access Journals
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