A systematic review of outcomes and complications of treating unstable distal radius fractures in the elderly.

@article{DiazGarcia2011ASR,
  title={A systematic review of outcomes and complications of treating unstable distal radius fractures in the elderly.},
  author={Rafael J. Diaz-Garcia and T. Oda and M. Shauver and K. Chung},
  journal={The Journal of hand surgery},
  year={2011},
  volume={36 5},
  pages={
          824-35.e2
        }
}
PURPOSE As the population in developed countries continues to age, the incidence of osteoporotic distal radius fractures (DRFs) will increase as well. Treatment of DRF in the elderly population is controversial. We systematically reviewed the existing literature for the management of DRFs in patients aged 60 and over with 5 common techniques: the volar locking plate system, nonbridging external fixation, bridging external fixation, percutaneous Kirschner wire fixation, and cast immobilization… Expand
Comparison of treatment outcomes between nonsurgical and surgical treatment of distal radius fracture in elderly: a systematic review and meta-analysis
TLDR
Surgical and nonsurgical methods produce similar results in the treatment of DRFS in the elderly, and minor objective functional differences did not result an impact on subjective function outcome and quality of life. Expand
Operative vs conservative treatment in distal radius fractures
TLDR
A retrospective clinical trial was performed to compare the outcomes of two methods used for the treatment of displaced and unstable distal radial fractures in patients 65 years of age or older, finding that the two groups would achieve similar functional scores and complications in distal radius fractures. Expand
Volar Locked Plating Versus Closed Reduction and Casting for Acute, Displaced Distal Radial Fractures in the Elderly: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
TLDR
Functional outcome was significantly better following VLP than CRC 3 months into the treatment of acute, displaced distal radial fractures in an elderly population and up to 2 years after injury, suggesting that clinical outcomes are similar for both treatment options. Expand
An economic analysis of outcomes and complications of treating distal radius fractures in the elderly.
TLDR
A cost-utility analysis to assess which of 4 common DRF treatments optimizes the cost-to-patient preference ratio indicates that, from the societal perspective, ORIF is considered a worthwhile alternative to casting. Expand
Safety and Efficacy of Operative Versus Nonsurgical Management of Distal Radius Fractures in Elderly Patients: A Systematic Review and Meta-analysis.
TLDR
Although operative management can offer better radiographic outcomes and grip strength than can nonsurgical treatment, the risk of complications requiring surgical treatment is greater and indications for operative fixation should be considered carefully in the treatment of elderly patients. Expand
Volar Locking Plate Fixation Versus Closed Reduction for Distal Radial Fractures in Adults: A Systematic Review and Meta-Analysis.
TLDR
There were no clinically important differences between treatments with respect to patient-reported pain and function at 12 months post-treatment, even though VLP fixation resulted in better fracture alignment than CR. Expand
The treatment of displaced intra-articular distal radius fractures in elderly patients.
TLDR
Findings with respect to mobility, functionality, and quality of life at 12 months provide marginal and inconsistent evidence for the superiority of volar angle-stable plate osteosynthesis over closed reduction and casting in the treatment of intra-articular distal radius fractures. Expand
Evaluating Outcomes Following Open Fractures of the Distal Radius.
TLDR
It is concluded that open fractures of the distal radius treated by immediate ORIF at the time of index debridement can result in satisfactory outcomes compared with other forms of treatment. Expand
Cost-effectiveness of Treatments after Closed Extra-Articular Distal Radius Fractures in Older Adults from the WRIST Clinical Trial.
TLDR
Casting is the most cost-effective treatment modality in the elderly with closed extra-articular DRFs and should be considered before operative intervention in unstable closed fractures. Expand
Volar Plate Fixation in Patients Older Than 70 Years with AO Type C Distal Radial Fractures: Clinical and Radiologic Outcomes
TLDR
The treatment of articular DRF (AO type C) with VLP in the elderly patients achieved greater than 90% of the wrist range of motion and grip strength with no residual pain in greater than 10% of patients. Expand
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