Management of distal radius fractures from the North American

Hand clinics · May 2012

Review

Management of distal radius fractures from the North American perspective.

In North America, the rate of nonoperative management of displaced distal radius fractures has declined as the rate of internal fixation has increased. Volar locking plate fixation has increased in popularity despite a lack of supportive level 1 evidence. ⋯ Clinicians should be aware of the goals of treatment and challenges, particularly in managing elderly patients with distal radius fractures. Large, randomized controlled trials or meta-analyses may provide answers about when operative intervention is favored over nonoperative management and which operative intervention provides the best outcomes.

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- Albert Yoon and Ruby Grewal.
- Division of Orthopedic Surgery, University of Western Ontario, Hand and Upper Limb Center, London, ON N6A 4L6, Canada.
- Hand Clin. 2012 May 1; 28 (2): 135-44.
AbstractIn North America, the rate of nonoperative management of displaced distal radius fractures has declined as the rate of internal fixation has increased. Volar locking plate fixation has increased in popularity despite a lack of supportive level 1 evidence. Issues of cost-effectiveness are relevant because there is no best-practice treatment at this stage. Clinicians should be aware of the goals of treatment and challenges, particularly in managing elderly patients with distal radius fractures. Large, randomized controlled trials or meta-analyses may provide answers about when operative intervention is favored over nonoperative management and which operative intervention provides the best outcomes.Copyright © 2012 Elsevier Inc. All rights reserved.

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Management of distal radius fractures from the North American perspective.

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