Arora Rohit, Gabl Markus, Erhart Stefanie, Schmidle Gernot, Dallapozza Christian, Lutz Martin
Department of Trauma Surgery, and Sports Medicine, Medical University Innsbruck (MUI), Innsbruck, Austria.
Geriatr Orthop Surg Rehabil. 2011 Sep;2(5-6):187-94. doi: 10.1177/2151458511426874.
Diatal radius fractures (DRFs) are typical fractures of relatively fit persons with osteoporotic bone who remain active into older age. Traditionally, DRFs in older patients have been treated with closed reduction and cast immobilization. Considering the increasing life expectancy of the elderly population, appropriate management of these fractures is of growing importance. Decision making for surgical or nonsurgical approach to osteoporotic DRFs is difficult. These decisions are often made based on the data from treatments of much younger patients. The current literature concerning the treatment of DRFs in the elderly individuals is more controversial. Some investigators have recommended open reduction internal fixation (ORIF) as treatment for unstable DRFs in older patients, while others have suggested that elderly patients should be treated nonsurgically even if there is an unstable fracture situation because fracture reduction is not associated with functional outcomes as in younger patients. This article reviews the different treatment options for DRFs in the elderly individuals reported in the recent literature.
桡骨远端骨折（DRFs）是相对健康但患有骨质疏松症的人群在步入老年后仍保持活动状态时发生的典型骨折。传统上，老年患者的DRFs采用闭合复位和石膏固定治疗。考虑到老年人口预期寿命的增加，对这些骨折进行适当的治疗变得越来越重要。对于骨质疏松性DRFs采取手术或非手术治疗的决策很困难。这些决策通常基于年轻得多的患者的治疗数据。目前关于老年个体DRFs治疗的文献更具争议性。一些研究者推荐切开复位内固定（ORIF）作为老年患者不稳定DRFs的治疗方法，而另一些人则认为，即使存在不稳定骨折情况，老年患者也应接受非手术治疗，因为骨折复位与年轻患者不同，与功能结果无关。本文综述了近期文献中报道的老年个体DRFs的不同治疗选择。
