Der distale Speichenbruch
- 1 November 2003
- journal article
- research article
- Published by Springer Science and Business Media LLC in Der Chirurg
- Vol. 74 (11), 1009-1017
- https://doi.org/10.1007/s00104-003-0765-9
Abstract
Fracture of the distal radius has a second peak of incidence in the second half of life. Because complex injuries are seen frequently, there is a need for differentiated treatment to achieve good results. The aim of our study was to evaluate the treatment of distal radius fractures with 2.4-mm locking compression (LC) plates in patients older than 65 years suffering from osteoporosis to determine the complications and compare costs of treatment with different interventions. Thirty-seven patients were included in this prospective study. The distribution of fractures according to AO classification was: nine type A, one type B, and 27 type C. The mean age was 76 years. Twenty-six volar plates, seven dorsal and four "sandwich" procedures were applied. The mean follow-up for 33 patients was 11.1 months. Using the functional Lidström score, we found 13 very good results, 15 good, four fair, and one poor, the radiologic Lidström scores were: 15 very good, 13 good, four fair, and one poor results. With the application of 2.4-mm LC plates, findings were good or very good in over 80%of osteoporotic distal radial fractures. Compared to other treatments, the real costs of intervention for LC plates is much higher.Keywords
This publication has 29 references indexed in Scilit:
- THE RADIO-RADIAL EXTERNAL FIXATOR IN THE TREATMENT OF FRACTURES OF THE DISTAL RADIUSJournal of Hand Surgery (European Volume), 1999
- BONE MINERAL DENSITY IN THE DISTAL RADIUS IN A HEALTHY JAPANESE POPULATION AND IN RELATION TO FRACTURES OF THE DISTAL RADIUSJournal of Hand Surgery (European Volume), 1999
- Injectable Calcium Phosphate in the Treatment of Distal Radial FracturesJournal of Hand Surgery (European Volume), 1996
- Basic Epidemiology of Fractures of the Upper and Lower Limb among Americans over 65 Years of AgeEpidemiology, 1996
- Instabilité des fractures de l'extrémité inférieure du radiusInternational Orthopaedics, 1996
- History, evolution and biomechanics of external fixation of the wrist jointInjury, 1994
- External fixation of distal radial fractures: Results and complicationsThe Journal of Hand Surgery, 1991
- Triangular fibrocartilage disorders: Injury patterns and treatmentArthroscopy: The Journal of Arthroscopic & Related Surgery, 1990
- Osteoporosis and colles' fractures in the elderlyJournal of Hand Surgery (European Volume), 1987
- The amount of bone in the metacarpal and the phalanx according to age and sexClinical Radiology, 1967