老年人群的桡骨远端骨折。

Luokkala Toni, Laitinen Minna K, Hevonkorpi Teemu P, Raittio Lauri, Mattila Ville M, Launonen Antti P

Department of Orthopaedics, Central Finland Central Hospital, Jyväskylä, Finland.

Department of Orthopaedics, Helsinki University Hospital, Helsinki, Finland.

EFORT Open Rev. 2020 Jun 17;5(6):361-370. doi: 10.1302/2058-5241.5.190060. eCollection 2020 Jun.

We found no clear evidence of the clinical superiority of distal radius fracture surgery among older adults at one year.Surgical treatment, however, may yield a faster recovery to previous level of activity in elderly patients.With operative treatment, hardware-based problems may warrant secondary operations and implant removal, whereas in non-operative treatment, symptomatic loss of alignment and malunion can occur.In elderly patients, non-operative treatment can be considered to be the gold standard. Cite this article: 2020;5:361-370. DOI: 10.1302/2058-5241.5.190060.

我们未发现老年患者桡骨远端骨折手术在一年时具有明显临床优势的明确证据。然而，手术治疗可能使老年患者更快恢复至先前的活动水平。手术治疗中，基于内固定装置的问题可能需要二次手术及取出植入物，而在非手术治疗中，可能会出现对线症状性丢失和畸形愈合。在老年患者中，非手术治疗可被视为金标准。引用本文：2020;5:361 - 370。DOI: 10.1302/2058 - 5241.5.190060。