2019
DOI: 10.1111/ans.15395
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Factors associated with the decision for operative versus conservative treatment of displaced distal radius fractures in the elderly

Abstract: Background: The treatment of senile distal radius fractures had not been clearly defined. The objective of this study was to identify the factors associated with the decision for operative treatment of displaced distal radius fractures in patients aged over 55 years. Methods: Data of 318 patients with displaced distal radius fractures were collected on patient-, fracture-and surgeon-related characteristics that were plausibly related to the decision for operation. Mean comparisons or chi-squared test were used… Show more

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Cited by 3 publications
(2 citation statements)
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“…The concept of stability gains importance in the conservative treatment of distal radius fractures. There are many studies investigating the instability criteria in distal radius fractures [17]. It is claimed that; patient age 60 or above, comminution of metaphyseal dorsal cortex, dorsal angulation greater than 20°, shortening of radial length more than 5 mm/positive ulnar variance, associated ulnar fracture, severe osteoporosis, radial inclination less than 15°, joint stepping of more than 2 mm and an enlargement of more than 50% in the joint face are important in instability [12,18].…”
Section: Discussionmentioning
confidence: 99%
“…The concept of stability gains importance in the conservative treatment of distal radius fractures. There are many studies investigating the instability criteria in distal radius fractures [17]. It is claimed that; patient age 60 or above, comminution of metaphyseal dorsal cortex, dorsal angulation greater than 20°, shortening of radial length more than 5 mm/positive ulnar variance, associated ulnar fracture, severe osteoporosis, radial inclination less than 15°, joint stepping of more than 2 mm and an enlargement of more than 50% in the joint face are important in instability [12,18].…”
Section: Discussionmentioning
confidence: 99%
“…[ 7 , 8 ] However, when similar fractures occur among the elderly, the most appropriate form of management is less clear due to a number of factors, such as decreased functional demands, higher perioperative risks, poorer bone quality, etc. [ 9 , 10 ]…”
Section: Introductionmentioning
confidence: 99%