Distal radius fractures (DRF) stand out as the most common orthopaedic injuries and frequently hint at underlying osteoporosis. This research aimed to compare non‐surgical and surgical treatments in terms of clinical outcomes and life quality in individuals aged 40 and above. A total of 99 patients were divided into two groups. The conservative group, consisting of 49 patients, underwent conservative treatment, whereas the ORIF group, comprising 30 patients, underwent surgery. Clinical and functional outcomes were evaluated using tools such as Short Form 36 (SF36), Modified mayo wrist score (MMWS), disability of the arm shoulder hand (DASH) and visual analogue scale (VAS). Each patient's joint mobility was assessed and compared to their unaffected wrist. Overall scores from SF36, DASH, MMWS and VAS didn't exhibit a significant difference between groups. However, the surgical group showed a notably better outcome in role limitation (p<0.05), while the conservative group had a significantly higher rate of complications (p<0.05). The data from this research aligns with existing studies, indicating that surgical intervention for repairing the radius articular surface doesn't provide clear benefits for older populations. Treatment decisions should be informed by an in‐depth fracture evaluation and comprehensive discussions with the patient.
A.K. Anwar Hamzath, B.S. Shiva Kumar and Ravi Kumar. Comparison Between Surgical and Conservative Treatment for Distal Radius Fractures in Patients over 40 Years.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.1003.1012
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.1003.1012