Influence of patient's age and fracture morphology on the final result of conservative treatment
Dutka, J.; Sosin, P.; Morawiecki, P.
Chirurgia Narzadow Ruchu i Ortopedia Polska 65(2): 183-190
2000
ISSN/ISBN: 0009-479X PMID: 10967833 Document Number: 515786
Three hundred and thirty-three cases of the distal radius fractures have been retrospectively analyzed. The patients were divided into 4 age groups (15-29, 30-49, 50-69 and above 70 years of age) and into 8 groups according to Frykman's classification of fracture morphology. Excellent and good results in the first and second age group were found in 84.3% (patients evaluation), in 85.3% (clinical evaluation according to Gartland-Werley criteria) and in 87.2% (radiologic Sarmiento scale). The scores in age groups III and IV were 69.7%, 67.1% and 52.4% respectively. Extraarticular fractures (Frykman I and II) were found in 69.7% in age groups II and I and in 37.3% in group III and IV. Excellent and good results in the extraarticular fractures group were found in 88% subjectively, 84.2% clinically and in 85.1% radiologically whilst in the intraarticular fractures group in 57.6%, 59.3% and 37.4% respectively. Clinical and radiologic results worsen as the fracture morphology gets more complicated and this occurs with increasing age of the patient.