ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018
Conservative treatment of distal fractures after the age of 65: a review of literature.
Review in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed.
- ESTES recommendations regarding distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Review
- Article
- Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures-An Updated Narrative Review.Journal of clinical medicine · 2023Review
- Renal impairment and time to fracture healing following surgical fixation of distal radius fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Prospective Evaluation of Two Cohorts of Non-Operatively Treated Patients with Displaced vs. Minimally and Non-Displaced Distal Radius Fractures.Journal of clinical medicine · 2023Article
- Predictors of Management of Distal Radius Fractures in Patients Aged >65 Years.Hand (New York, N.Y.) · 2022Article
- Wrist Hemiarthroplasty for Complex Intraarticular Distal Radius Fracture in a Patient with Manifest Osteoporosis.Life (Basel, Switzerland) · 2022Article
- Lessons learned with the Cobra prosthesis in elderly patients with complex distal radius fractures-a retrospective follow-up study.Archives of orthopaedic and trauma surgery · 2022Article
- Functional bracing in distal radius fractures: a cadaveric pilot study.Orthopedic reviews · 2022Article
- Surgical comfort and clinical outcomes of MIPO with an extra-short plate designed for distal radius fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Changing to Removable Casts During the Coronavirus Pandemic-Has It Affected Outcomes for Distal Radius Fractures?SN comprehensive clinical medicine · 2021Article
- Clinical Utility of 3-Dimensional Reconstruction Images to Predict Conservative Treatment Outcomes of Intra-Articular Distal Radius Fractures.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Management of Pain Associated with Fractures.Current osteoporosis reports · 2020Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The goal of this study was to evaluate the role of conservative treatment of distal radius fractures in the elderly since 2000. Our series included 22 articles, of which 3 reviews, 2 meta-analyses, 6 descriptive series of conservative treatment, 10 series comparing surgical and conservative treatments and 1 series comparing different types of conservative treatments. The reduction was performed by closed reduction in 7 cases and by traction in 3 cases. A short-arm cast was used in 8 cases and a long-arm cast in 4 cases for an average length of 6 weeks. The indications of conservative treatment were varied: AO type A fractures in 2 cases, type C fractures in 1 case, types A and C in 8 cases and types A, B and C in 3 cases. No article reported any significant difference between surgical and conservative treatments in terms of DASH or PRWE, whereas strength was sometimes improved when surgical treatment was used. Radiological results were always better after surgical treatment. The rate of complications varied greatly, greater, equally or lower compared to conservative treatment depending on the series. All in all, there is no consensus to assert that a conservative treatment is more justified than a surgical treatment to treat distal radius fractures after the age of 65. Most authors consider that the long-term clinical outcome is identical and that the radiological result is better after surgical treatment. The fact that the fixation of a distal radius fracture by a volar locking plate after 65 years speeds up the recovery remains to be proven.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.