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 |
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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. |
doi_str_mv | 10.12809/hkmj144440 |
format | Article |
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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. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-36f1021ae3b23fea2d51f3ef8e12267d1f34fc53c752f1af7d569ab25b2cd8e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26139690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><title>Is locking plate fixation a better option than casting for distal radius fracture in elderly people?</title><title>Hong Kong medical journal = Xianggang yi xue za zhi</title><addtitle>Hong Kong Med J</addtitle><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.</description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Plates</subject><subject>Casts, Surgical</subject><subject>Clinical outcomes</subject><subject>Closed reduction</subject><subject>Disability</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Healing</subject><subject>Fractures</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Questionnaires</subject><subject>Radiography</subject><subject>Radius Fractures - diagnostic imaging</subject><subject>Radius Fractures - physiopathology</subject><subject>Radius Fractures - surgery</subject><subject>Range of motion</subject><subject>Range of Motion, Articular</subject><subject>Rehabilitation</subject><subject>Treatment Outcome</subject><subject>Wrist Joint - physiopathology</subject><issn>1024-2708</issn><issn>2226-8707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkEtLxDAUhYMoOj5W7iXgRpBqHm3TrEQGXyC4cV_S5MbpTKapSQr6742OD_BuDgc-DucehI4puaCsIfJysVovaZmPbKEZY6wuGkHENppRwsqCCdLsof0Yl4SwppJkF-2xmnJZSzJD5iFi5_WqH17w6FQCbPs3lXo_YIU7SAkC9uOXTws1YK1i-mStD9j0MSmHgzL9FLENSqcpAO4HDM5AcO94BD86uDpEO1a5CEffeoCeb2-e5_fF49Pdw_z6sdC8KlPBa5sbUwW8Y9yCYqailoNtgOanhMmmtLriWlTMUmWFqWqpOlZ1TJsG-AE628SOwb9OEFO77qMG59QAfootFUyUvBFSZvT0H7r0UxhyuZaJppa8lnWZqfMNpYOPMYBtx9CvVXhvKWm_tm__ts_0yXfm1K3B_LI_Y_MPM2uAFA</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Hung, L P</creator><creator>Leung, Y F</creator><creator>Ip, W Y</creator><creator>Lee, Y L</creator><general>Hong Kong Academy of Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BVBZV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20151001</creationdate><title>Is locking plate fixation a better option than casting for distal radius fracture in elderly people?</title><author>Hung, L P ; 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 & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>East & South Asia Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Hong Kong medical journal = Xianggang yi xue za zhi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hung, L P</au><au>Leung, Y F</au><au>Ip, W Y</au><au>Lee, Y L</au><aucorp>Department of Orthopaedics and Traumatology, Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is locking plate fixation a better option than casting for distal radius fracture in elderly people?</atitle><jtitle>Hong Kong medical journal = Xianggang yi xue za zhi</jtitle><addtitle>Hong Kong Med J</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>21</volume><issue>5</issue><spage>407</spage><epage>410</epage><pages>407-410</pages><issn>1024-2708</issn><eissn>2226-8707</eissn><abstract>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.</abstract><cop>China</cop><pub>Hong Kong Academy of Medicine</pub><pmid>26139690</pmid><doi>10.12809/hkmj144440</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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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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