Evaluation of radiological parameters after distal radius fracture in elderly people

Adam Zaręba


Introduction. Distal radius fractures are one of the most frequent problems in every day practice and almost 17% of all fractures in adults. We have to very often face effects of low‑energy trauma in elderly people. Osteoporotic bone and composed morphology of fracture forces surgeon to consider operation among the best options of treatment.
Aim. This is an attempt to compare radiological results achieved by closed reduction and cast immobilization versus open reduction and internal fixation with „Aptus®” (Medartis, Basel Switzerland) volar plate, as well as dynamics of redisplacement during immobilization based on radiological parameters of distal radius.
Material and methods. There were 101 patients in examined group, aged 60 to 91.
Results. Internal fixation lead to smaller secondary displacement comparing to cast immobilization, but significancy varies depending on fracture morphology. Redisplacement during cast immobilization was comparable during first seven days and following weeks previous to removal of splint


distal radius; fracture; elderly; operative treatment

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Ark J, Jupiter JB. The rationale for precise management of distal radius fractures. Orthop Clin North Am. 1993;24:205–10.

Robertsson GO, Jonsson GT, Sigurjonsson K. Epidemiology of distal radius fractures in Iceland in 1985. Acta Orthop Scand. 1990;61:457–9.

Kakarlapudi TK, Santini A, Shahane SA, et al. The cost of treatment of distal radial fractures. Injury. 2000;31:229–32.

McMurtry RY, Jupiter JB, Browner BD Fractures of the distal radius. In Skeletal Trauma: Fractures, Dislocations, Ligamentous Injuries. 1997.

Andreas P. Diamantopoulos Gudrun Rohde The Epidemiology of Low- and High‑Energy Distal Radius Fracture in Middle‑Aged and Elderly Men and Women.

João Carlos Belloti. Marcel Jun Sugawara Tamaoki. Carlos Eduardo da Silveira Franciozi Are distal radius fracture classifications reproducible? Intra and interobserver agreementepartment of Orthopedics and Traumatology, Universidade Federal de São Paulo.

Nicola Toufik, Torklus Detlef Atlas dostępów operacyjnych w chirurgii ortopedycznej i traumatologii. U&P, 2009.

Jupiter J, Ring D. Surgical treatment of redisplaced fractures of the distal radius in patients older than 60 years. J Hand Surg. 2002;27:714–724.

Jupiter JB, Ring D. Open reduction and internal fixation of fractures of the distal radius. American Academy of Orthopedic Surgeons Monograph Series. 1998.

Kreder HJ, Hanel DP, McKee MD, Jupiter JB, McGillivary G, Swiontkowski MF. X-ray film measurements for healed distal radius fractures. J Hand Surg [Am]. 1996;21:31–3.

Kreder HJ, Hanel DP. Consistency of AO fracture Classification for the distal radius. From Sunnybrook Health Science Center and the University of Toronto, Canada.

Andersen GR, Rasmussen J-B, Dahl B, Solgaard S. Older’s classification of Colles’ fractures: good intraobserver and interobserver reproducibility in 185 cases. Acta Orthop Scand. 1991;62:463.

David L Nelson, A Lee Osterman, Harris Gellman Distal fractures of the radius Treatment & Management. Medscape.

Maureen Leahy, Predicting displacement after closed treatement of distal radius fracture. www.aaos.org/news/aaosnow.

Wakefield AE, McQueen MM. The role of physiotherapy and clinical predictors of outcome after fracture of the distal radius. J Bone Joint Surg Br. 2000;82:972–976.

Horne JG, Devane P, Purdie G. A prospective randomized trial of external fixation and plaster cast immobilization in the treatment of distal radial fractures. J Orthop Trauma. 1990.

Howard PW, Stewart HD, Hind RE, Burke FD. External fixation or plaster for severely displaced comminuted Colles’ fractures? A prospective study of anatomical and functional results. J Bone Joint Surg Br. 1989.

Chung KC, Squitieri L, Kim HM. Comparative outcomes study using the volar locking plating system for distal radius fractures in both young adults and adults older than 60 years. J Hand Surg Am. 2008 Jul‑Aug;33(6):809–819.

Viegas SF, Tencer AF, Cantrell J, Chang M, Clegg P, Hicks C, O'Meara C, and Williamson JB. Load Transfer Characteristics of the Wrist: Part II. Perilunate Instability. Journal of Hand Surgery. 1987.

Rikli DA, Honigmann P, Babst R, Cristalli A, Morlock M, Mittlmeier T. Intraarticular pressure measurement in the radioulnocarpal joint using a novel sensor: in vitro and in vivo results. 2007.

Jupiter J, Ring D. A comparison of early and late reconstruction of malunited fractures of the distal end of the radius. J Bone Joint Surg Am. 1996;78(5):739–748.

Leung F., Ozkan M.., Chow S. P. Conservative treatment of intra articular fractures of the distal radius‑factors affecting functional outcome. Hand Surg. 2000;5(2):145–153.


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