ArticleBMC musculoskeletal disorders2020
Surgical outcomes of elderly patients aged more than 80 years with distal radius fracture: comparison of external fixation and locking plate.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Surgical Treatment of Periarticular Distal Radius Fracture in Elderly: A Systematic Review.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Secondary Carpal Tunnel Release After Surgical Fixation of the Distal Radius: A Case-Control Study.Hand (New York, N.Y.) · 2026Article
- Outcomes of Distal Radial Fractures in Geriatric Patients Following Volar Locked versus Dorsal Bridge Plating.Journal of wrist surgery · 2026Article
- An Acta Orthopaedica educational article: Choosing treatment with an elderly patient having a distal radius fracture.Acta orthopaedica · 2026Review
- Review
- 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
- Surgical options for distal radius fractures of type C in elderly patients over 65 years old: a comparison of external fixation with Kirschner wires and volar locking plate.Journal of orthopaedic surgery and research · 2023Article
- Interventions for Distal Radius Fractures: A Meta-analysis of Comparison Studies.Journal of wrist surgery · 2021Article
- The external fixation can be a good alternative to plate-screw treatment in the surgical treatment of bilateral distal radius fractures: A retrospective cohort study.Joint diseases and related surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo compare the outcomes after surgical intervention, including external fixation (EF) with the optional addition of K-pins or open reduction and internal fixation (ORIF) with a volar locking plate (VLP), in patients with distal radius fracture aged > 80 years.
methodsWe reviewed 69 patients with a distal radius fracture aged > 80 years who treated under surgical intervention from 2011 to 2017 retrospectively. Their demographic data and complications were recorded. Preoperative, postoperative, and last follow-up plain films were analyzed. The functional outcomes of wrist range of motion were also evaluated.
results41 patients were treated with EF with the optional addition of K-pins, while 28 patients were treated with ORIF with a VLP. The radiological parameters, including ulnar variance and radial inclination, at the last follow-up were significantly more acceptable in the VLP group (p = 0.01, p = 0.03, respectively). The forearm supination was significantly better in patients treated with VLP (p = 0.002). The overall incidence of complications was lower in the VLP group (p = 0.003).
conclusionVLP provides better radiological outcomes, wrist supination and lower complication rates than EF. Therefore, although EF is still widely used because of its acceptable results and easy application, we recommend VLP as a suitable treatment option for distal radius fracture in the geriatric population aged > 80 years.
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