Management of distal radius fractures: Treatment protocol and functional results

Internal fixation versus conservative treatment for displaced distal radius fractures: a meta-analysis of randomised controlled trials

“…Some authors concluded that best treatment option is dependent on type of fracture, extent of metaphyseal comminution, quality of the bone, and the medical condition of the patient. [23] Others concluded that conservative treatment remains the safest option in most cases. [24] In the present meta-analysis, no significant difference between internal fixation and conservative treatment were found.…”

An Economic Analysis of Outcomes and Complications of Treating Distal Radius Fractures in the Elderly

“…4 There is a general perception that open reduction and internal fixation (ORIF) with locking plates is superior to casting for the younger population, especially for comminuted and intra-articular fractures. [5][6][7] However, there is a paucity of high-grade evidence demonstrating whether these findings can be translated to the elderly population. Our group's recent systematic review of DRF treatment in the elderly found that, although radiographic outcomes were worse following casting, there were no differences in functional outcomes compared to surgical treatment.…”

Minimally invasive plate osteosynthesis in frkyman’s type I to IV fractures of distal end radius: A study of 30 cases

“…Several treatment options ranging from close reduction and cast application, external fixation with or without k-wire fixation, open reduction and internal fixation to more recently segment specific fixation have been done for these fractures. The best treatment option for these fractures is still debatable with advantages and disadvantages of each modality of treatment [1][2][3][4] . Close reduction and cast application has long been considered to be a good option for distal radius fractures in low demand patients.…”

“…Close reduction and cast application has long been considered to be a good option for distal radius fractures in low demand patients. Some restriction of function has been an inevitable outcome of conservative treatment [2,3] . External fixation with or without k-wire fixation has consistently shown better results in comminuted intra-articular fractures.…”