Cast Immobilization Comparable to Surgery for Distal Radius Fractures in Elderly

THURSDAY, Aug. 24, 2023 (HealthDay News) -- For older adults, cast immobilization (CI) performs similarly to surgical therapies for distal radius fractures (DRFs) at one year postoperatively, according to a study published online Aug. 23 in the Journal of Orthopaedic Research.
Mustafa Yalin, from Elazığ Fethi Sekin City Hospital in Turkey, and colleagues compared the clinical outcomes of CI versus surgical treatment after one year for DRFs in an elderly population, including patients aged 70 to 89 years. Data were included for 276 patients: CI was used on 213 (77.2 percent), while the other patients had volar-locked plates (VLP), received external fixators with percutaneous pinning (EFPP), and had isolated percutaneous pinning (IPP; 25, 25, and 13 patients, respectively).
The researchers found that 19 patients had complications; complex regional pain syndrome and carpal tunnel syndrome were most often documented. At the first postoperative year, EFPP resulted in significantly higher Disability of the Arm, Shoulder, and Hand (DASH) score values than VLP and IPP. For patients who received CI versus those who underwent surgery, no significant difference was seen in the DASH score and range of motion values at the first postoperative year.
"CI therapy still retains its validity and performs similarly to surgical therapies for DRFs in older individuals," the authors write. "There is a requirement for multi‐center prospective studies that compare the four types of treatment models using larger patient populations."
Related Posts
After Criticism, FDA Pledges to Revamp Its Tobacco Division
FRIDAY, Feb. 24, 2023 (HealthDay News) -- The U.S. Food and Drug...
Las personas mayores que viven a favor del viento de los sitios de fractura hidráulica viven menos: estudio
VIERNES, 28 de junio de 2022 (HealthDay News) -- Las personas mayores que viven...
Long-Term Medication Usage After Bariatric Surgeries Compared
TUESDAY, Jan. 18, 2022 (HealthDay News) -- Patients who have gastric bypass may...
Un panel de expertos recomienda hacer pruebas de trastornos de ansiedad a todo adulto menor de 65 años
MARTES, 20 de junio de 2023 (HealthDay News) -- Por primera vez en la historia,...