Comparison Between External Fixation and Cast Treatment in the Management of Distal Radius Fractures in Patients Aged 65 Years and Older

Journal of Hand Surgery

Volumn 35, Issue 5, 2010, Pages 736-742

  Aktekin, Cem Nuri ^a   Altay, Murat ^a   Gursoy, Zeki ^a   Aktekin, Lale Akbulut ^a   Ozturk, Akif Muhtar ^a   Tabak, Abdullah Yalcin ^a  

^a ANKARA TRAINING AND RESEARCH HOSPITAL   (Turkey)

Author keywords

Cast; distal radius fractures; elderly; external fixation

Indexed keywords

AGED; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; FLEXOR REFLEX; FRACTURE EXTERNAL FIXATION; FRACTURE HEALING; FUNCTIONAL ASSESSMENT; GERIATRIC PATIENT; HAND GRIP; HAND MOVEMENT; HAND RADIOGRAPHY; HUMAN; INFECTION; INTERMETHOD COMPARISON; MALE; OUTCOME ASSESSMENT; PIN SITE INFECTION; PINCH STRENGTH; PLASTER CAST; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RADIUS FRACTURE; RANGE OF MOTION;

AGED; CASTS, SURGICAL; COLLES' FRACTURE; EXTERNAL FIXATORS; FEMALE; FRACTURE FIXATION; HUMANS; MALE;

EID: 77951623831     PISSN: 03635023     EISSN: 15316564     Source Type: Journal    
DOI: 10.1016/j.jhsa.2010.01.028     Document Type: Article

References (26)

1. Pool C. Colles's fracture. A prospective study of treatment. J Bone Joint Surg 55B (1973) 540-544
2. Hegeman J.H., Oskam J., Vierhout P.A., and Ten Duis H.J. External fixation for unstable intra-articular distal radial fractures in women older than 55 years. Acceptable functional end results in the majority of the patients despite significant secondary displacement. Injury 36 (2005) 339-344
3. Capo J.T., Swan Jr. K.G., and Tan V. External fixation techniques for distal radius fractures. Clin Orthop Relat Res 445 (2006) 30-41
4. Knox J., Ambrose H., McCallister W., and Trumble T. Percutaneous pins versus volar plates for unstable distal radius fractures: a biomechanic study using a cadaver model. J Hand Surg 32A (2007) 813-817
5. Pritchett J.W. External fixation or closed medullary pinning for unstable Colles fractures?. J Bone Joint Surg 77B (1995) 267-269
6. Duncan S.F., and Weiland A.J. Minimally invasive reduction and osteosynthesis of articular fractures of the distal radius. Injury 32 Suppl 1 (2001) SA14-SA24
7. Schneeberger A.G., Ip W.Y., Poon T.L., and Chow S.P. Open reduction and plate fixation of displaced AO type C3 fractures of the distal radius: restoration of articular congruity in eighteen cases. J Orthop Trauma 15 (2001) 350-357
8. Handoll H.H., and Madhok R. Managing fractures of the distal radius in adults. Clinical and research implications from systematic reviews of existing trials. Acta Orthop Scand Suppl 73 (2002) 45-48
9. Howard P.W., Stewart H.D., Hind R.E., and Burke F.D. External fixation or plaster for severely displaced comminuted Colles' fractures?. A prospective study of anatomical and functional results. J Bone Joint Surg 71B (1989) 68-73
10. Kongsholm J., and Olerud C. Plaster cast versus external fixation for unstable intraarticular Colles' fractures. Clin Orthop Relat Res 241 (1989) 57-65
11. Arora J., and Malik A.C. External fixation in comminuted, displaced intra-articular fractures of the distal radius: is it sufficient?. Arch Orthop Trauma Surg 125 (2005) 536-540
12. Sommerkamp T.G., Seeman M., Silliman J., Jones A., Patterson S., Walker J., et al. Dynamic external fixation of unstable fractures of the distal part of the radius. A prospective, randomized comparison with static external fixation. J Bone Joint Surg 76A (1994) 1149-1161
13. Handoll H.H., Huntley J.S., and Madhok R. External fixation versus conservative treatment for distal radial fractures in adults. Cochrane Database Syst Rev (2007) CD006194
14. Moroni A., Vannini F., Faldini C., Pegreffi F., and Giannini S. Cast vs external fixation: a comparative study in elderly osteoporotic distal radial fracture patients. Scand J Surg 93 (2004) 64-67
15. Gehrmann S.V., Windolf J., and Kaufmann R.A. Distal radius fracture management in elderly patients: a literature review. J Hand Surg 33A (2008) 421-429
16. McQueen M.M., Hajducka C., and Court-Brown C.M. Redisplaced unstable fractures of the distal radius: a prospective randomised comparison of four methods of treatment. J Bone Joint Surg 78B (1996) 404-409
17. Kreder H.J., Hanel D.P., McKee M., Jupiter J., McGillivary G., and Swiontkowski M.F. Consistency of AO fracture classification for the distal radius. J Bone Joint Surg 78B (1996) 726-731
18. McQueen M.M., and Court-Brown C.M. Increasing age and fractures of the distal radius. Curr Orthopaed 17 (2003) 360-368
19. Ring D., and Jupiter J.B. Treatment of osteoporotic distal radius fractures. Osteoporos Int 16 Suppl 2 (2005) S80-S84
20. Young B.T., and Rayan G.M. Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years. J Hand Surg 25A (2000) 19-28
21. Roumen R.M., Hesp W.L., and Bruggink E.D. Unstable Colles' fractures in elderly patients. A randomised trial of external fixation for redisplacement. J Bone Joint Surg 73B (1991) 307-311
22. McQueen M.M., MacLaren A., and Chalmers J. The value of remanipulating Colles' fractures. J Bone Joint Surg 68B (1986) 232-233
23. Kreder H.J., Agel J., McKee M.D., Schemitsch E.H., Stephen D., and Hanel D.P. A randomized, controlled trial of distal radius fractures with metaphyseal displacement but without joint incongruity: closed reduction and casting versus closed reduction, spanning external fixation, and optional percutaneous K-wires. J Orthop Trauma 20 (2006) 115-121
24. Dias J.J., Wray C.C., Jones J.M., and Gregg P.J. The value of early mobilisation in the treatment of Colles' fractures. J Bone Joint Surg 69B (1987) 463-467
25. Christensen O.M., Christiansen T.C., Krasheninnikoff M., Lind B., Holmich L.R., Hansen F.F., et al. Plaster cast compared with bridging external fixation for distal radius fractures of the Colles' type. Int Orthop 24 (2001) 358-360
26. Grewal R., and MacDermid J.C. The risk of adverse outcomes in extra-articular distal radius fractures is increased with malalignment in patients of all ages but mitigated in older patients. J Hand Surg 32A (2007) 962-970