Distale Radiusfraktur: Konservativ versus operativ
Kalbitz M, Gebhard F (2016)
Publication Type: Journal article
Publication year: 2016
Journal
Book Volume: 18
Pages Range: 346-352
DOI: 10.1007/s10039-016-0153-6
Abstract
Distal radius fractures are the most frequent fractures in elderly patients. Different treatment strategies are available for distal radius fractures depending on the fracture morphology and patient comorbidities. Conservative and operative treatment strategies are in competition concerning anatomical and functional outcome. Conservative therapy is a well-proven procedure associated with low complication rates; however, closed repositioning and retention in a plaster cast have only a limited use for fractures with joint involvement or unstable fractures. A 6‑week treatment in a plaster cast is inferior to operative treatment with respect to patient comfort. Angle stable palmar locking plates provide the possibility of anatomical reconstruction of the wrist joint combined with early physiotherapy. In contrast, operative treatment is more frequently associated with complications, such as nerve compression, tenovaginitis and infections. In summary, angle stable palmar locking plates are a safe and well-established procedure for distal radius fractures if fracture morphology, contraindications and comorbidities are taken into account.
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Germany (DE)How to cite
APA:
Kalbitz, M., & Gebhard, F. (2016). Distale Radiusfraktur: Konservativ versus operativ. Trauma und Berufskrankheit, 18, 346-352. https://doi.org/10.1007/s10039-016-0153-6
MLA:
Kalbitz, Miriam, and F. Gebhard. "Distale Radiusfraktur: Konservativ versus operativ." Trauma und Berufskrankheit 18 (2016): 346-352.
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