Operative Techniques in Orthopaedics
Volume 19, Issue 2 , Pages 96-99 , April 2009

Distal Radius Fracture Management in Elderly Patients

  • Robert A. Kaufmann, MD

      Affiliations

    • Department of Orthopaedic Surgery, Division of Hand Surgery, University of Pittsburgh, PA
    • Corresponding Author InformationAddress reprint requests to Robert A. Kaufmann, MD, Department of Orthopaedic Surgery, Division of Hand Surgery, Kaufmann Medical Building, 3471 Fifth Ave, Suite 1011, Pittsburgh, PA 15213
    • ,
  • Sebastian V. Gehrmann, MD

      Affiliations

    • Department of Trauma and Hand Surgery, Düsseldorf University Hospital, Düsseldorf, Germany

References 

  1. Cummings SR, Black DM, Rubin SM. Lifetime risks of hip, Colles', or vertebral fracture and coronary heart disease among white postmenopausal women. Arch Intern Med. 1989;149:2445–2448
  2. Singer BR, McLauchlan GJ, Robinson CM, et al. Epidemiology of fractures in 15,000 adults: The influence of age and gender. J Bone Joint Surg Br. 1998;80:243–248
  3. Hung LK, Wu HT, Leung PC, et al. Low BMD is a risk factor for low-energy Colles' fractures in women before and after menopause. Clin Orthop Relat Res. 2005;435:219–225
  4. Nesbitt KS, Failla JM, Les C. Assessment of instability factors in adult distal radius fractures. J Hand Surg Am. 2004;29:1128–1138
  5. Porter M, Stockley I. Fractures of the distal radius (Intermediate and end results in relation to radiologic parameters). Clin Orthop Relat Res. 1987;220:241–252
  6. McQueen MM, MacLaren A, Chalmers J. The value of remanipulating Colles' fractures. J Bone Joint Surg Br. 1986;68:232–233
  7. Lafontaine M, Delince P, Hardy D, et al. Instability of fractures of the lower end of the radius: Apropos of a series of 167 cases. Acta Orthop Belg. 1989;55:203–216
  8. Gehrmann SV, Windolf J, Kaufmann RA. Distal radius fracture management in elderly patients: A literature review. J Hand Surg Am. 2008;33:421–429
  9. Kwasny O, Fuchs M, Hertz H, et al. Skeletal transfixation in treatment of comminuted fractures of the distal end of the radius in the elderly. J Trauma. 1990;30:1278–1284
  10. Strohm PC, Muller CA, Boll T, et al. Two procedures for Kirschner wire osteosynthesis of distal radial fractures (A randomized trial). J Bone Joint Surg Am. 2004;86-A:2621–2628
  11. Ochman S, Frerichmann U, Armsen N, et al. Is use of the external fixation no longer indicated for the treatment of unstable radial fractures in the elderly?. Unfallchirurg. 2006;109:1050–1057
  12. Fu YC, Chien SH, Huang PJ, et al. Use of an external fixation combined with the buttress-maintain pinning method in treating comminuted distal radius fractures in osteoporotic patients. J Trauma. 2006;60:330–333
  13. Cannegieter DM, Juttmann JW. Cancellous grafting and external fixation for unstable Colles' fractures. J Bone Joint Surg Br. 1997;79:428–432
  14. Voigt C, Lill H. What advantages does volar plate fixation have over K-wire fixation for distal radius extension fractures in the elderly?. Unfallchirurg. 2006;109:845–854
  15. Walz M, Kolbow B, Auerbach F. Do fixed-angle T-plates offer advantages for distal radius fractures in elderly patients?. Unfallchirurg. 2004;107:664–670
  16. Kock H, Bandl WD, Chan T. Experiences and results with the locked compression plate for 603 fractures of the distal radius. Handchir Mikrochir Plast Chir. 2005;37:303–308
  17. Orbay JL, Fernandez DL. Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. J Hand Surg Am. 2004;29:96–102
  18. Keller M, Steiger R. Open reduction and internal fixation of distal radius extension fractures in women over 60 years of age with the dorsal radius plate (pi-plate). Handchir Mikrochir Plast Chir. 2006;38:82–89
  19. Wolf JC, Weil WM, Hanel DP, et al. A biomechanic comparison of an internal radiocarpal-spanning 2.4-mm locking plate and external fixation in a model of distal radius fractures. J Hand Surg Am. 2006;31:1578–1586
  20. Hegeman JH, Oskam J, van der Palen J, et al. The distal radial fracture in elderly women and the bone mineral density of the lumbar spine and hip. J Hand Surg Br. 2004;29:473–476
  21. Washburn RA, McAuley E, Katula J, et al. The physical activity scale for the elderly (PASE): Evidence for validity. J Clin Epidemiol. 1999;52:643–651

PII: S1048-6666(09)00097-4

doi: 10.1053/j.oto.2009.08.002

Operative Techniques in Orthopaedics
Volume 19, Issue 2 , Pages 96-99 , April 2009

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