Is locking plate fixation a better option than casting for distal radius fracture in elderly people?

To compare the outcomes of locking plate fixation versus casting for displaced distal radius fracture with unstable fracture pattern in active Chinese elderly people. Historical cohort study. Orthopaedic ward and clinic at Tseung Kwan O Hospital, Hong Kong. Between 1 May 2010 and 31 October 2013, 57...

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Veröffentlicht in:Hong Kong medical journal = Xianggang yi xue za zhi 2015-10, Vol.21 (5), p.407-410
Hauptverfasser: Hung, L P, Leung, Y F, Ip, W Y, Lee, Y L
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container_title Hong Kong medical journal = Xianggang yi xue za zhi
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creator Hung, L P
Leung, Y F
Ip, W Y
Lee, Y L
description To compare the outcomes of locking plate fixation versus casting for displaced distal radius fracture with unstable fracture pattern in active Chinese elderly people. Historical cohort study. Orthopaedic ward and clinic at Tseung Kwan O Hospital, Hong Kong. Between 1 May 2010 and 31 October 2013, 57 Chinese elderly people aged 61 to 80 years were treated either operatively with locking plate fixation (n=26) or conservatively with cast immobilisation (n=31) for unstable displaced distal radius fracture. Clinical, radiological, and functional outcomes were assessed at 9 to 12 months after treatment. The functional outcome (based on the quick Disabilities of the Arm, Shoulder and Hand score) was significantly better in the locking plate fixation group than in the cast immobilisation group, while clinical and radiological outcomes were comparable with those in other similar studies. Locking plate fixation resulted in better functional outcome for displaced distal radius fracture with unstable fracture pattern in active Chinese elderly people aged 61 to 80 years. Further prospective study with long-term follow-up is recommended.
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Historical cohort study. Orthopaedic ward and clinic at Tseung Kwan O Hospital, Hong Kong. Between 1 May 2010 and 31 October 2013, 57 Chinese elderly people aged 61 to 80 years were treated either operatively with locking plate fixation (n=26) or conservatively with cast immobilisation (n=31) for unstable displaced distal radius fracture. Clinical, radiological, and functional outcomes were assessed at 9 to 12 months after treatment. The functional outcome (based on the quick Disabilities of the Arm, Shoulder and Hand score) was significantly better in the locking plate fixation group than in the cast immobilisation group, while clinical and radiological outcomes were comparable with those in other similar studies. Locking plate fixation resulted in better functional outcome for displaced distal radius fracture with unstable fracture pattern in active Chinese elderly people aged 61 to 80 years. Further prospective study with long-term follow-up is recommended.</description><identifier>ISSN: 1024-2708</identifier><identifier>EISSN: 2226-8707</identifier><identifier>DOI: 10.12809/hkmj144440</identifier><identifier>PMID: 26139690</identifier><language>eng</language><publisher>China: Hong Kong Academy of Medicine</publisher><subject>Age ; Aged ; Aged, 80 and over ; Bone Plates ; Casts, Surgical ; Clinical outcomes ; Closed reduction ; Disability ; Female ; Follow-Up Studies ; Fracture Fixation, Internal - instrumentation ; Fracture Healing ; Fractures ; Hand Strength ; Humans ; Male ; Middle Aged ; Older people ; Orthopedics ; Patients ; Questionnaires ; Radiography ; Radius Fractures - diagnostic imaging ; Radius Fractures - physiopathology ; Radius Fractures - surgery ; Range of motion ; Range of Motion, Articular ; Rehabilitation ; Treatment Outcome ; Wrist Joint - physiopathology</subject><ispartof>Hong Kong medical journal = Xianggang yi xue za zhi, 2015-10, Vol.21 (5), p.407-410</ispartof><rights>2015. 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Leung, Y F ; Ip, W Y ; Lee, Y L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-36f1021ae3b23fea2d51f3ef8e12267d1f34fc53c752f1af7d569ab25b2cd8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Plates</topic><topic>Casts, Surgical</topic><topic>Clinical outcomes</topic><topic>Closed reduction</topic><topic>Disability</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>Fracture Healing</topic><topic>Fractures</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Questionnaires</topic><topic>Radiography</topic><topic>Radius Fractures - diagnostic imaging</topic><topic>Radius Fractures - physiopathology</topic><topic>Radius Fractures - surgery</topic><topic>Range of motion</topic><topic>Range of Motion, Articular</topic><topic>Rehabilitation</topic><topic>Treatment Outcome</topic><topic>Wrist Joint - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hung, L P</creatorcontrib><creatorcontrib>Leung, Y F</creatorcontrib><creatorcontrib>Ip, W Y</creatorcontrib><creatorcontrib>Lee, Y L</creatorcontrib><creatorcontrib>Department of Orthopaedics and Traumatology, Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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subjects Age
Aged
Aged, 80 and over
Bone Plates
Casts, Surgical
Clinical outcomes
Closed reduction
Disability
Female
Follow-Up Studies
Fracture Fixation, Internal - instrumentation
Fracture Healing
Fractures
Hand Strength
Humans
Male
Middle Aged
Older people
Orthopedics
Patients
Questionnaires
Radiography
Radius Fractures - diagnostic imaging
Radius Fractures - physiopathology
Radius Fractures - surgery
Range of motion
Range of Motion, Articular
Rehabilitation
Treatment Outcome
Wrist Joint - physiopathology
title Is locking plate fixation a better option than casting for distal radius fracture in elderly people?
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