Distal Radius Fracture Management in Elderly Patients: A Literature Review

Gehrmann, Sebastian; Windolf, Joachim; Kaufmann, Robert A.

doi:10.1016/j.jhsa.2007.12.016

Cited by 129 publications

(62 citation statements)

References 54 publications

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“…5 Furthermore, this fracture site was most common for each age group with the exception of 18-34 year olds and 35-49 year olds, where it was third and second most common, respectively. 5 The incidence of DRF is increased in older adulthood, [29][30][31] whereas a study of 208,094 working age Americans who sustained a fracture reported that the radius was the most common injury site. 6 Taken together, DRF is a common fracture across the life span.…”

Section: Epidemiologymentioning

confidence: 99%

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Epidemiology of distal radius fractures and factors predicting risk and prognosis

MacIntyre

Dewan

2016

Journal of Hand Therapy

278

190

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Section: Epidemiologymentioning

confidence: 99%

“…28 The incidence of DRF is increased in older adulthood [29][30][31] and is positively associated with increased physical activity levels. 3 These global issues underline the need for this review, which aims to summarize the literature reporting on DRF epidemiology, risk factors, and prognostic factors.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of distal radius fractures and factors predicting risk and prognosis

MacIntyre

Dewan

2016

Journal of Hand Therapy

278

190

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“…Here external fixation was associated with a high number of complications, such as pin-track infection, but many of these were minor and the type of pin insertion was challenged as a cause of infection. In patients treated with external fixation, the main risk factor for pin track infection is patient age related [10]. This study's aim was to examine the functional outcome of percutaneous K-wiring of these extra-articular distal radius fractures with immobilization in neutral position of the wrist.pin tract infection (n=2) (our of 32 patients).…”

Section: Discussionmentioning

confidence: 99%

Brodie’s Abscess 7 Years after External Fixation of a Displaced Distal Radius Fracture: A Case Report and Review of the Literature

Lindau¹,

Oestreich²

2015

MOJOR

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This case report and review of the literature present a rare long-term complication after a closed displaced distal radius fracture operated on with closed reduction and external fixation (EF). There were no early problems except a malunion without impairment. Seven years later the patient presented with a Brodie's abscess; i.e. deep osteomyelitis at one of the previous EF pin sites. Brodie's osteomyelitis often has a subtle and atypical presentation. X-rays may demonstrate an intraosseous bone lesion. Diagnosis is often made through MRI and/or nuclear bone scans. Standard treatment is operative excision of the lesion with curettage, insertion of antibiotic beads and appropriate antibiotics based upon curettage of the cyst and microbiological findings. We followed these principals and had an excellent outcome.

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“…It is often not possible to have a successful outcome using the all time same approach and materials for different types of fractures (Gehrmann et al, 2008;Gereli et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of compression application in instable intraarticular distal radius fractures, treated with external fixator

Sevä°Mlä°¹

2014

Sci. Res. Essays

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This research studied the efficacy of compression application in patients with instable intraarticular distal radius fractures. Here, results for 44 patients (32 males 12 females, mean age 36, distribution 21 to 59), with instable distal radius fracture, was retrospectively assessed. 22 patients who have received conventional closed reduction prior to external fixation and 22 patients, who have received compression in anterior-posterior plate, were included in the study. Same brand of external fixator was applied to all fractures and in addition, Kirchner wire was also used together with fixator for the fixation of fracture to a total of four cases, including two cases from compression group and two cases from control group. For two groups, radiologic AO classification was used. In both groups, radial curve angle, palmary curve angle and radial length data were compared. Functional results were assessed in line with Modified Sarmiento scale. Six of the fractures were open fractures. According to AO classification, 6 of the fractures were of type B1, 4 fractures B2, 14 fractures C2 and 10 fractures C3. The term of external fixation application was an average of 5 weeks in both groups and the follow up term of the patients was average 7.6 months (distribution 4 to 19 months). There were no significant differences from radiological aspect between the two groups (p>0.05). In the functional assessment, the results of the patient group, subject to reduction with compression technique, were better compared to control group (p<0.05). The application of compression in the treatment of instable and intraarticular distal radius fractures, improve clinical and radiological outcomes. This described technique, is an easily applicable and safe method.

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Distal Radius Fracture Management in Elderly Patients: A Literature Review

Cited by 129 publications

References 54 publications

Epidemiology of distal radius fractures and factors predicting risk and prognosis

Epidemiology of distal radius fractures and factors predicting risk and prognosis

Brodie’s Abscess 7 Years after External Fixation of a Displaced Distal Radius Fracture: A Case Report and Review of the Literature

Efficacy of compression application in instable intraarticular distal radius fractures, treated with external fixator

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