The Clinical Curative Effect Comparative Geriatric Distal Radius Fractures With Operative Or Nonoperative Treatment

Objective: To evaluate the effect of Cast Immobilization and locking compression plate to geriatric distal radius fractures.Methods: our hospital From January 2010 to January 2013 were retrospectively analyzed. A total of 122 geriatric patients were enrolled in this prospective study. 56 males and 66 females, mean age of 66.7 years. All the patients were followed up for 12~15(mean 15.7)months. according to AO classification system:A2:29 cases, A3: 19 cases, B1: 28 cases, B2: 8 cases,B3: 4 cases, C1: 18 cases, C2: 11 cases, C3:5 cases. Patients were grouped as Cast Immobilization group(65 cases) and Locking plate fixation group(57 cases). The respective analysis and comparison research were focus on the data of two groups which including radiographic measurement, Active range of the injured wrist, Gartland and werley score,Patient-Rated Wrist Evaluation and complications.Results: At the last followed up. Between A, B type of geriatric distal radius fractures of the two groups in imaging efficacy analysis, Gartland and werley score, active range of the injured wrist and Patient-Rated Wrist Evaluation are no significant different(P>0.05). Between C type of geriatric distal radius fractures of the two groups in imaging efficacy analysis, Active range of the injured wrist are significant different(P<0.05). between C type of geriatric distal radial fracture of the two groups the excellent and good rate are no significant different, no statistical significance(P>0.05).Conclusion: When clinicians in the choice of treatment options, physicians need to be evaluated comprehensive, comprehensive, objective situation for patients. Choose the best option to help patients recover as much as possible for the purpose of limb function.