Stabilization and treatment of Colles’ fractures in elderly patients
William G Blakeney
Department of Orthopedic Surgery, Sir Charles Gairdner Hospital and Royal Perth Hospital, Perth, WA, Australia
Abstract: Colles’ fractures (fractures of the distal radius) are extremely common in the elderly. These fractures tend to result in displacement in elderly people because they have osteoporotic bone. Fracture displacement in the elderly, however, does not necessarily result in functional impairment. This review looks at the current literature on distal radius fractures in the elderly and the treatment options for stabilization of these fractures. These include conservative management with cast immobilization or surgical options: internal fixation, external fixation, percutaneous pinning, and bone substitutes.
Keywords: Colles’ fracture, distal radius, elderly, osteoporosis, treatment
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