An Acta Orthopaedica educational article: Choosing treatment with an elderly patient having a distal radius fracture
DOI:
https://doi.org/10.2340/17453674.2026.45945Keywords:
Distal radius fractures, Educational, Elderly, Fractures, TreatmentAbstract
Distal radius fractures in adults primarily occur in the elderly, in whom comorbidity, polypharmacy, dependency, and limited functional demands often coexist. Most patients have been managed non-surgically with casting. However, only a few trials with high evidence exist on comparing non-surgical and surgical treatments in the elderly. Given the heterogeneity of the aging population, a universal approach to treatment selection may not be feasible. This educational article aims to discuss the advantages and disadvantages of non-surgical vs surgical management, radiological assessment, complication risks, and osteoporosis screening. Moreover, we suggest surgical technical tips, a treatment algorithm, and a decision-making strategy that considers both functional demands and individual needs.
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Copyright (c) 2026 Marcus Landgren, Cecilia Mellstrand Navarro, Teemu Karjalainen, Rikke Thorninger, Sondre Hassellund, Rasmus Wejnold Troest, Jeppe Vejlgaard Rasmussen, Hebe Désirée Kvernmo, Dennis Winge Hallager, Tamara Rozental, Magnus Tägil
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