Evaluation of radiological parameters after distal radius fracture in elderly people

Abstract

Introduction. Distal radius fractures are one of the most frequent problems in every day practice and almost 17% of all fractures in adults. We have to very often face effects of low-energy trauma in elderly people. Osteoporotic bone and composed morphology of fracture forces surgeon to consider operation among the best options of treatment.Aim. This is an attempt to compare radiological results achieved by closed reduction and cast immobilization versus open reduction and internal fixation with „Aptus®” (Medartis, Basel Switzerland) volar plate, as well as dynamics of redisplacement during immobilization based on radiological parameters of distal radius.Material and methods. There were 101 patients in examined group, aged 60 to 91. Results. Internal fixation lead to smaller secondary displacement comparing to cast immobilization, but significancy varies depending on fracture morphology. Redisplacement during cast immobilization was comparable during first seven days and following weeks previous to removal of splint