[Fractures of the radius in the typical site, conservative and surgical treatment--comparison of results]

In the years 1987-1988, 372 fractures of the radius in the typical zone were treated at the trauma station. 178 were included into our study, the remaining 194 did not return for check-ups. 123 cases were treated conservatively and 55 operatively. According to statistical data, more women than men were injured (p < 0.01). More patients aged over 60 were treated conservatively. In operative and conservative treatment, the types of fractures were similar (p < 0.01). In comparing the results of operative treatment with those from 1985, we establish that the present results are better (p < 0.0001), owing above all to the shorter period of time elapsing between injury and operation. In conservative treatment, the results are also better owing to a change in the method of plaster casting. All unstable fractures must be treated operatively. Among the applied operative methods, transcutaneous fixation with Kierschner's wires under X-ray monitoring proved to be the best. Etiologically, injuries listed under other hold the first place, followed by occupational and traffic injuries. Treatment and control must be managed by a surgeon who is acquainted with problems of bone tissue injuries. Continuous cooperation with the physiotherapist is of extreme importance.