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  1. Home
  3. Frykman Type 7-8 Distal Radius Fractures In Elderly Patients: Conservative Treatment Vs Volar Plating.
  1. Home
  3. Frykman Type 7-8 Distal Radius Fractures In Elderly Patients: Conservative Treatment Vs Volar Plating.

Related Experiment Video

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

395

Frykman Type 7-8 Distal Radius Fractures in Elderly Patients: Conservative Treatment vs Volar Plating.

Mehmed Nuri Tutuncu1, Murat Demiroğlu2

  • 1Orthopaedics and Traumatology, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul, TUR.

Cureus
|July 25, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Conservative casting and surgical volar plating offer similar outcomes for elderly patients with displaced Frykman type 7-8 distal radius fractures. Plaster treatment can yield satisfactory results, especially for patients with low expectations and comorbidities.

Keywords:
castingdistal radius fractureelderlyfrykman classificationplate fixation

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Area of Science:

  • Orthopedic Surgery
  • Geriatric Trauma
  • Fracture Management

Background:

  • Elderly patients with displaced Frykman type 7-8 distal radius fractures present unique treatment challenges.
  • Evaluating clinical outcomes of conservative versus surgical interventions is crucial for this demographic.

Purpose of the Study:

  • To compare the clinical outcomes of conservative (casting) and surgical (volar plating) treatments for displaced Frykman type 7-8 distal radius fractures in elderly patients.
  • To assess functional, radiological, and pain-related parameters post-treatment.

Main Methods:

  • A cohort of 50 patients (aged 60+) with displaced Frykman type 7-8 distal radius fractures were treated between January 2019 and January 2022.
  • Evaluated outcomes included joint range of motion, pain scores (VAS), functional scores (Mayo wrist, Quick-DASH), radiological parameters, and complications.
  • Patients received either conservative casting (18) or surgical volar plating (32).

    • Main Results:

    • No statistically significant differences in overall functional and radiological assessments between casting and volar plating groups.
    • Surgical treatment resulted in significantly greater volar tilt compared to casting (p=0.02).
    • Poorer outcomes (lower Mayo wrist scores, higher VAS scores) were associated with step-offs >2 mm; better outcomes (higher Mayo wrist, lower Quick-DASH) were linked to acceptable radiological parameters.

    Conclusions:

    • Both casting and volar plating yield comparable clinical outcomes for elderly patients with Frykman type 7-8 distal radius fractures.
    • Conservative plaster treatment is a viable option, particularly for elderly patients with low functional demands and multiple comorbidities.