Clinical and functional analysis of closed reduction-plastering and volar locking plate methods in distal radius fractures in patients over 60 years of age

Aim: Many different methods have been described in the treatment of distal radius fractures (DRF) elderly population, and which one is better method a matter debate among orthopedic surgeons. The aim this study was to compare results closed reduction plastering (CRP) volar locking plate (VLP), are used DRF population. Materials Methods: Between January 2019 December 2020, 36 patients with aged > 60 years were evaluated retrospectively. There 19 CRP group 17 VLP group. Wrist flexion, extension, pronation, supination, ulnar deviation, radial deviation degrees grip strength measured first year their treatment. functionally by patient-rated wrist evaluation (PRWE), modified Green O'Brien score (MGOS), resting stress visual analogue scale (VAS). Results: In both groups, similar ROM values obtained no significant difference observed. While PRWE 17.5 ± 5.5 12.5 4.8 group, MGOS 83.0 7.4 86.8 12.6 scores not significantly (p = 0.802, p 0.315). there almost pain groups at rest, more felt VKP under stress. 20.9 6.4 kg it 22.2 6.8 compared contralateral wrist. Conclusion: clinical functional between one-year period after patient population years. Treatment should be planned according capacity patient.