HIGH RATES OF REDUCTION IN CONSERVATIVE TREATMENT OF GERIATRIC DISTAL RADIUS FRACTURES

Abstract

Objective: The aim of this study is to evaluate the early reduction results in conservative treatment of distal radial fractures in geriatric patients.

Material and Methods: Patients aged over 60 years with displaced distal radius fractures who were treated with conservative treatment were included in the study. Follow-up X-rays of the patients at the 1st week were evaluated. Patients’ data were obtained from hospital information management system. We evaluated the patient's age, sex, fracture side, the mechanism of injury, type of AO/OTA classification, loss of reduction, and treatment methods.

Results: One hundred and nineteen patients of 132 geriatric patients with distal radius fracture were elligible for the inclusion criteria. 97.6% of patients with AO type 2R3A fracture were found to be within acceptable degrees of reduction in the 1st week of conservative treatment. Seven patients had a loss of reduction. Six had a high degree of dorsal angulation, and one had over 2mm step off. There was no significant difference in terms of conservative treatment success between extra-articular fractures and partial and complete intra-articular fractures (p=0.584).

Conclusion: We demonstrated that initial closed reduction and cast immobilization is an effective treatment method in the management of elderly patients with AO type 2R3A, 2R3B, and 2R3C distal radius fractures.

Keywords

• conservative management
• distal radius fractures
• closed reduction
• geriatric fractures

Geriatrik Distal Radius Kırıklarının Konservatif Tedavisinde Yüksek Redüksiyon Oranları

Abstract

Amaç: Bu çalışmanın amacı, geriatrik hastalarda radius distal uç kırıklarının konservatif tedavisinde erken redüksiyon sonuçlarını değerlendirmektir.

Gereç ve Yöntemler: Radius distal uç kırığı olan 132 geriatrik hastanın 119’u çalışmaya dahil edilmiştir. Yer değiştirmiş radius distal uç kırığı olan ve konservatif olarak tedavi edilen 60 yaş üstü hastalar çalışmaya alındı. Hastaların birinci haftadaki takip röntgenleri değerlendirildi. Hasta verileri hastane bilgi yönetim sisteminden elde edildi. Hastaların yaşı, cinsiyeti, kırık tarafı, yaralanma mekanizması, AO/OTA sınıflandırması tipi, redüksiyon kaybı ve tedavi yöntemleri taranmıştır.

Bulgular: AO tip 2R3A kırığı olan hastaların %97,6’sında konservatif tedavinin birinci haftasında kabul edilebilir bir redüksiyon derecesi elde edilmiştir. Yedi hastada redüksiyon kaybı vardı. Altı hastada yüksek derecede dorsal açılanma ve bir hastada ise 2 mm’nin üzerinde bir basamaklanma mevcuttu. Eklem dışı kırıklar ile kısmi ve tam eklem içi kırıklar arasında konservatif tedavi başarısı açısından anlamlı fark yoktu (p=0.584).

Sonuç: AO tip 2R3A, 2R3B VE 2R3C radius distal uç kırığı olan yaşlı hastaların ilk tedavisinde kapalı redüksiyon ve alçı immobilizasyonunun etkili bir tedavi yöntemi olduğunu gösterdik.

Keywords

• konservatif tedavi
• Radius distal uç kırıkları
• geriatrik kırıklar
• kapalı redüksiyon

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