Current and Future National Costs to Medicare for the Treatment of Distal Radius Fracture in the Elderly

2011 ◽  
Vol 36 (8) ◽  
pp. 1282-1287 ◽  
Author(s):  
Melissa J. Shauver ◽  
Huiying Yin ◽  
Mousumi Banerjee ◽  
Kevin C. Chung
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
The Elderly ◽  
Radius Fracture

Is a short arm cast appropriate for stable distal radius fractures in patients older than 55 years? A randomized prospective multicentre study

2017 ◽  
Vol 42 (5) ◽  
pp. 487-492 ◽  
Author(s):  
M. J. Park ◽  
J. P. Kim ◽  
H. I. Lee ◽  
T. K. Lim ◽  
H. S. Jung ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
The Elderly ◽  
Plaster Cast ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Cast Immobilization ◽  
Level Of Evidence

We conducted a prospective randomized, multicentre study to compare short arm and long arm plaster casts for the treatment of stable distal radius fracture in patients older than 55 years. We randomly assigned patients over the age of 55 years who had stable distal radius fracture to either a short arm or long arm plaster cast at the first review 1 week after their injury. Radiographic and clinical follow-up was conducted at 1, 3, 5, 12 and 24 weeks following their injury. Also, degree of disability caused by each cast immobilization was evaluated at the patient’s visit to remove the cast. There were no significant differences in radiological parameters between the groups except for volar tilt. Despite these differences in volar tilt, neither functional status as measured by the Disabilities of the Arm, Shoulder and Hand, nor visual analogue scale was significantly different between the groups. However, the mean score of disability caused by plaster cast immobilization and the incidence rate of shoulder pain were significantly higher in patients who had a long plaster cast. Our findings suggest that a short arm cast is as effective as a long arm cast for stable distal radius fractures in the elderly. Furthermore, it is more comfortable and introduces less restriction on daily activities. Level of evidence: II

Recent Update in the Diagnosis and Treatment of Bone Frailty in Patients with a Distal Radius Fracture

2016 ◽  
Vol 21 (03) ◽  
pp. 307-312 ◽  
Author(s):  
Young Ho Shin ◽  
Hyun Sik Gong
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
Radius Fracture ◽  
Secondary Fracture ◽  
Subsequent Fracture ◽  
Extremity Fracture ◽  
History Of ◽  
Upper Extremity Fracture

Distal radius fracture (DRF) is the most common upper extremity fracture in the elderly. Patients with a DRF have a two to fourfold higher risk of a subsequent fracture than those with no history of fractures, and DRFs occur on average 15 years earlier than hip fractures. Therefore, patients with a DRF offer physicians an important opportunity to diagnose and treat osteoporosis to prevent a secondary fracture. In this review, we provide recent update in the diagnosis and treatment of bone frailty in patients with a DRF.

Unidirectional Porous β-Tricalcium Phosphate: A New Bone Filling Substitute for Treatment of Distal Radius Fracture in the Elderly Population

2020 ◽  
Vol 25 (01) ◽  
pp. 59-66
Author(s):  
Keiichi Muramatsu ◽  
Jessica A. Gandionco ◽  
Anthony A. Suguitan ◽  
Yasuhiro Tani ◽  
Ryuta Iwanaga ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Tricalcium Phosphate ◽  
Elderly Population ◽  
The Elderly ◽  
Fracture Site ◽  
Radius Fracture ◽  
Bony Defect ◽  
Unstable Fracture ◽  
Significant Correction

Background: A new beta-tricalcium phosphate with unidirectional pore structure (UDPTCP), Affinos® (Kurray, Okayama, Japan), has been in clinical use since 2015. To date, there have been only a few clinical studies using this material. We report here the first clinical study for distal radial fracture in the elderly population treated with UDPTCP. Methods: Consecutive patients aged 65 years or older with dorsally displaced unstable fracture of the distal radius (n = 36) were treated operatively in our department. Following reduction of the fracture site, a 7 mm size cube of UDPTCP was placed in the gap of the bony defect and the fracture stabilized with mono-axial or poly-axial type locking plates and screws. Remodeling of the UDPTCP was evaluated by plain radiograph and clinical outcomes were also assessed. Results: UDPTCP was significantly resorbed at 2 months after surgery, both at the center and periphery of the material. Complications were only observed in the post-operative period. Significant correction loss of radial alignment was seen in patients stabilized with poly-axial locking plate. The clinical outcome in all cases was excellent. Conclusions: Block UDPTCP is a safe and convenient material for the treatment of distal radius fracture and is replaced within a suitable time period after grafting into the fracture site. UDPTCP and stable internal fixation is therefore a reliable strategy for restoring and preserving anatomical position, especially in the elderly population.

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