scholarly journals Evaluation of Radiological Parameters in Elderly Patients Treated Conservatively for Distal Radius Fracture

2021 ◽  
pp. 468-481
Author(s):  
Anıl AGAR ◽  
Orhan GÜNEŞ ◽  
Adem ŞAHİN ◽  
Bülent KILIÇ ◽  
Cemil ERTÜRK ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture ◽  
Radiological Parameters

The effect of probiotic treatment on elderly patients with distal radius fracture: a prospective double-blind, placebo-controlled randomised clinical trial

2016 ◽  
Vol 7 (5) ◽  
pp. 631-637 ◽  
Author(s):  
M. Lei ◽  
L-M. Hua ◽  
D-W. Wang
Keyword(s):  
Clinical Trial ◽  
Elderly Patients ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Lactobacillus Casei ◽  
Radius Fracture ◽  
Double Blind ◽  
Double Blind Placebo ◽  
Lactobacillus Casei Shirota ◽  
Probiotic Treatment

Probiotic treatment has been shown to improve bone formation, increase bone mass density and prevent bone loss. We aimed to assess the effect of probiotic treatment on functional recovery in elderly patients with a distal radius fracture. A total of 417 elderly patients with an acute distal radius fracture were enrolled in this double-blind placebo-controlled clinical trial. They were randomised to receive skimmed milk containing either a commercial probiotic (Lactobacillus casei Shirota) or placebo daily for a period of 6 months after the fracture. Treatment outcomes were the DASH (disabilities of the arm, shoulder and hand) score, pain, complex regional pain syndrome (CRPS) score, active range of motion and grip strength, all of which were measured on a monthly basis. Throughout the duration of the study, DASH score, pain, CRPS score, wrist flexion and grip strength of patients receiving probiotics exhibited a significantly faster pace of improvement than those on placebo, with treatment outcomes of patients receiving Lactobacillus casei Shirota at month 4 at comparable levels with those of patients receiving placebo at month 6. In elderly patients with a fracture of the distal radius, administration of the probiotic could greatly accelerating the healing process.

scholarly journals Partially Healed Malaligned Distal Radius Fracture. Surgical Treatment in Patients older than 70 Years

2020 ◽  
Vol 48 (01) ◽  
pp. 020-026
Author(s):  
Marcos Cruz-Sánchez ◽  
Jaime De la Torre-Rojo ◽  
Cristóbal Martínez-Andrade
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Pattern ◽  
Distal Radius Fractures ◽  
High Rate ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Mayo Wrist Score

Abstract Introduction Management of distal radius fractures remains controversial despite their high frequency. Elderly patients specifically present a high rate of secondary displacement, sometimes requiring a complex reconstructive surgery. The surgical treatment of displaced fractures evolving for several weeks in elderly patients has not been clearly reflected in the literature. This study aims to show clinical and radiological outcomes from this particular situation. Material and Methods Retrospective study of 31 cases of distal radius fractures with more than 2 weeks of evolution. Fractures were graded according to the Fernández's classification. Pre- and postoperative radiological studies were carried out to evaluate the degree of correction achieved. A clinical evaluation was performed using the Mayo Wrist Score. Data on arthroscopy and bone substitutes use, specific surgical tips and complications were also collected. Results Thirty-one patients with a mean age of 76 years old were operated for distal radius fracture with a delay in surgical treatment of 22 days. The most frequent fracture pattern was Fernández type III (38.7%). The clinical outcome according to the Mayo Wrist Score was 81.94 points with no relationship to fracture pattern or arthroscopic assistance. A statistically significant improvement was achieved for the correction of radial inclination, joint gap and ulnar variance. No statistically significant improvement was achieved in volar tilt correction. Complications were observed in 12.9% of the cases. Conclusions Delayed surgical treatment of distal radius fracture in elderly patients provides similar results to those observed in other age groups and time of evolution. Despite not being the ideal scenario for the surgeon, it should be considered to avoid functional deterioration in this fragile age group.

Acceptable parameters for alignment of distal radius fracture with conservative treatment in elderly patients

2014 ◽  
Vol 19 (2) ◽  
pp. 292-297 ◽  
Author(s):  
Narihito Kodama ◽  
Yoshinori Takemura ◽  
Hiroaki Ueba ◽  
Shinji Imai ◽  
Yoshitaka Matsusue
Keyword(s):  
Conservative Treatment ◽  
Elderly Patients ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture

scholarly journals A study protocol for a randomized controlled trial evaluating vibration therapy as an intervention for postural training and fall prevention after distal radius fracture in elderly patients

2019 ◽  
Author(s):  
Ronald Man Yeung WONG ◽  
Wing Tung HO ◽  
Ning TANG ◽  
Chi Yin TSO ◽  
Wai Kit Raymond NG ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Elderly Patients ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fall Prevention ◽  
Postural Stability ◽  
Controlled Trial ◽  
Radius Fracture ◽  
Randomized Controlled ◽  
Increased Risk

Abstract Background: Fractures of the distal radius are one of the most common osteoporotic fractures in elderly men and women. These fractures are a particular health concern amongst the elderly, who are at risk of fragility fractures, and are associated with long-term functional impairment, pain and a variety of complications. This is a sentinel event as these fractures are associated with 2 to 4 times increased risk of subsequent hip fractures in elderly patients. This is an important concept as it is well established that these patients have an increased risk of falling. Fall prevention is therefore crucial to decrease further morbidity and mortality. The purpose of this study is to investigate the effect of low-magnitude high frequency vibration (LMHFV) on postural stability and prevention of falls in elderly patients post distal radius fracture. Methods: This is a prospective single-blinded randomized controlled trial. 200 patients will be recruited consecutively with consent, and randomized to either LMHFV (n=100) or control group (n=100). The primary outcome is postural stability measured by the static and dynamic ability of patients to maintain center of balance on the Biodex Balance System SD. Secondary outcomes are the occurrence of fall, the health-related quality of life (SF-36), Timed Up and Go (TUG) test for basic mobility skills, compliance and adverse events. Outcome assessments for both groups will be performed at baseline 0 months, 6 weeks, 3 months and 6 months time-points. Discussion: Previous studies have stressed the importance of reducing falls in distal radius fracture elderly patients, and an effective intervention is crucial. Numerous studies have proven vibration therapy to be effective in improving balancing ability in normal patients. No previous study has applied the device for fracture patients. Our study will be going to translate LMHFV to fracture patients to improve postural stability and prevent recurrent falls. Positive results would provide a large impact in the prevention of secondary fractures and save healthcare costs.

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