Open AccessDistal Radius Fractures: Setting Yourself Up for Success in the Active Geriatric Patient
Author(s) -
Suman Medda,
Arun Aneja,
Eben A. Carroll
Publication year - 2021
Publication title -
journal of orthopaedic trauma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 121
eISSN - 1531-2291
pISSN - 0890-5339
DOI - 10.1097/bot.0000000000002226
Subject(s) - medicine , distal radius fracture , fixation (population genetics) , rehabilitation , grip strength , external fixation , surgery , patient satisfaction , population , wrist , external fixator , physical therapy , environmental health
Distal radius fractures are common in the geriatric population; however, treatment of these fractures remains controversial. Patients undergoing operative fixation may experience a quicker recovery with increased grip strength, which is beneficial in the active geriatric patient. Treatment options include fragment-specific fixation, volar locked plating, and dorsal bridge plating. External fixation alone leads to poor outcomes and is indicated in patients with soft tissue compromise or as a supplemental aid. Implant selection should be tailored to fracture parameters. With a thoughtful surgical algorithm and rehabilitation protocol, good outcomes can be achieved with a high rate of patient satisfaction.