Management of distal radius fractures: treatment protocol and functional results

Injury. 2010 Nov;41(11):1120-6. doi: 10.1016/j.injury.2010.09.016. Epub 2010 Oct 8.

Abstract

Distal radius fractures are the most frequent lesions encountered during clinical practice. The treatment is controversial and still debated in the literature. For a correct management of these lesions many authors recently emphasised the importance of anatomical reduction, a stable fixation and early joint mobilisation. We report our experience in the daily management of these lesions. The fractures are evaluated considering fracture type, fracture reduction criteria, adequacy of reduction criteria and overall fracture stability. The best treatment option must be decided in accordance to the type of fracture, the extent of metaphyseal comminution, the quality of the bone and the medical condition of the patient.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bone Plates
  • Clinical Protocols
  • Female
  • Fracture Fixation, Internal / methods*
  • Humans
  • Male
  • Radiography
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / physiopathology
  • Radius Fractures / surgery*
  • Range of Motion, Articular / physiology
  • Treatment Outcome