Functional Outcome of Distal Radius Fractures in Elderly Treated By Close Reduction And Cast Application under Hematoma Block

Abstract

Introduction: Distal radius fractures are common in elderly population. Various options of treatment are available. Very good clinical outcomes have been reported in elderly patients with distal radius fractures treated by close reduction and cast application. The purpose of this study was to assess functional outcome of distal radius fractures in elderly treated by close reduction and cast application under hematoma block. Methods: Sixty two patients (19 males,42 females; mean age 67.7± 5.7 years) aged >60 years with distal radius fractures Frykman I to IV were treated with close reduction and cast application under hematoma block. Pain level was assessed using VAS score. Anatomical and functional results were assessed with radiological parameters, range of motion and DASH score at 2,6,12,24 and 52 weeks follow up. Results: Union was achieved in all fractures with mean time of 6.1±0.4weeks.At final follow up, mean radial height, radial inclination and radial tilt were 6.39 mm, 18.4°and 4.2° respectively. Mean VAS score and DASH score were 0.76 and 10.1 respectively. Complications were seen in 5 ( 6 % ) patients. Conclusion: Distal radius fractures in elderly treated by close reduction under hematoma block and cast application has good functional outcome.