Volar locking plate fixation for distal radius fractures: Does age affect outcome?

Ahmed Ezzat, Santosh Baliga, Carol Carnegie, Alan Johnstone, Ahmed Ezzat, Santosh Baliga, Carol Carnegie, Alan Johnstone

Abstract

Background: The AAOS guidelines are unable to recommend for or against operative treatment of distal radius fractures in older patients.

Aims: This study compares the outcomes of older patients (≥60 years) against a cohort of younger patients treated with volar locking plate (VLP) fixation.

Methods: We assessed 78 patients, comparing range of movement (ROM), grip and pinch strength, subjective Visual Analogue Score (VAS) for pain and function and composite outcome scores.

Results: There was no difference in clinical outcomes between the two groups at six months.

Conclusion: Open reduction and VLP for distal radius fractures gives comparable outcomes in the older population.

Keywords: Age related outcomes; Distal radius fracture; Open reduction internal fixation; Osteoporosis; Volar locking plate.

Source: PubMed

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