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Volar plate for intra-articular distal radius fracture. A prospective comparative study between elderly and young patients.

Abstract：

INTRODUCTION:Treatment of the distal radius fracture in elderly remains controversial. The objective was to assess the outcomes of volar locking plate for displaced complete intra-articular distal radius fractures in elderly as compared to younger patients. HYPOTHESIS:The outcomes in elderly patients would be comparable with those in younger patients with a low rate of complications. MATERIAL AND METHODS:Non-randomised prospective comparative study between 70 patients older than 65 years and 46 younger patients with AO type-C fractures. The main outcome was Disabilities Arm, Shoulder and Hand (DASH) score. Secondary variables were Patient-Rated Wrist Evaluation (PRWE) score, range of motion, Visual Analogue Scale (VAS) for pain, and grip strength. Radiological measurements were also performed. RESULTS:The mean follow-up was 30.9 (range, 24-53) months. There were no significant differences in mean DASH, PRWE, VAS-pain, wrist motion or radiological parameters at final follow-up. Multivariate analysis showed that the functional outcomes were significantly influenced by baseline ulnar positivity greater than 3mm at baseline but not by age. DISCUSSION:The study hypothesis was confirmed. Surgical treatment with volar locking plate for displaced complete intra-articular fractures of the distal radius in elderly patients represents a safe and effective treatment alternative with similar early complication rate than in younger. LEVEL OF EVIDENCE:III, cohort study.

journal_name

Orthop Traumatol Surg Res

journal_title

Orthopaedics & traumatology, surgery & research : OTSR

authors

Lizaur-Utrilla A,Martinez-Mendez D,Vizcaya-Moreno MF,Lopez-Prats FA

doi

10.1016/j.otsr.2019.12.008

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

319-323

issue

2

issn

1877-0568

pii

S1877-0568(20)30031-1

journal_volume

106

pub_type

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