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Abstract：
BACKGROUND: The aim of this study was to determine the clinical outcomes of conservative and surgical treatments in elderly patients with displaced Frykman type 7-8 distal radius fractures.
METHODS: The clinical outcomes of 50 patients aged 60 and older with displaced Frykman type 7-8 fractures who underwent surgical and conservative treatments between January 2019 and January 2022 were determined. The joint range of motion, pain scores, functional scores, radiological parameters, and any complications that occurred posttreatment were evaluated for each patient who underwent both treatments.
RESULTS: Descriptive characteristics, excluding sex, were evaluated in 18 patients treated with casting and 32 patients treated with volar plating, and no statistically significant differences were detected between the groups. The functional and radiological assessments of the groups showed no significant differences (p>0.05). The volar tilt of patients who underwent surgical treatment was significantly greater than that of patients who were treated with a cast (p=0.02). The Mayo wrist scores of patients with step-offs greater than 2 mm were significantly lower (p=0.007; p<0.01). The visual analog scale (VAS) scores of patients who met the step-off criterion were significantly greater (p=0.025; p<0.05). The Mayo wrist scores of patients whose radiological parameters were within acceptable limits were significantly greater (p=0.007; p<0.01). The Quick-Quick Disabilities of the Arm, Shoulder, and Hand (DASH) scores of patients whose radiological parameters were within acceptable limits were significantly lower (p=0.007; p<0.01).
CONCLUSIONS: In elderly patients with identified Frykman type 7-8 fractures, casting and volar plating treatments produced similar results. Especially in patients with low expectations and multiple comorbidities, satisfactory results can be achieved with plaster treatment.
METHODS: The clinical outcomes of 50 patients aged 60 and older with displaced Frykman type 7-8 fractures who underwent surgical and conservative treatments between January 2019 and January 2022 were determined. The joint range of motion, pain scores, functional scores, radiological parameters, and any complications that occurred posttreatment were evaluated for each patient who underwent both treatments.
RESULTS: Descriptive characteristics, excluding sex, were evaluated in 18 patients treated with casting and 32 patients treated with volar plating, and no statistically significant differences were detected between the groups. The functional and radiological assessments of the groups showed no significant differences (p>0.05). The volar tilt of patients who underwent surgical treatment was significantly greater than that of patients who were treated with a cast (p=0.02). The Mayo wrist scores of patients with step-offs greater than 2 mm were significantly lower (p=0.007; p<0.01). The visual analog scale (VAS) scores of patients who met the step-off criterion were significantly greater (p=0.025; p<0.05). The Mayo wrist scores of patients whose radiological parameters were within acceptable limits were significantly greater (p=0.007; p<0.01). The Quick-Quick Disabilities of the Arm, Shoulder, and Hand (DASH) scores of patients whose radiological parameters were within acceptable limits were significantly lower (p=0.007; p<0.01).
CONCLUSIONS: In elderly patients with identified Frykman type 7-8 fractures, casting and volar plating treatments produced similar results. Especially in patients with low expectations and multiple comorbidities, satisfactory results can be achieved with plaster treatment.
摘要：
背景：本研究的目的是确定老年患者移位Frykman7-8型桡骨远端骨折的保守治疗和手术治疗的临床结果。
方法：确定了2019年1月至2022年1月期间50例年龄在60岁及以上的Frykman7-8型骨折移位患者的临床结果。关节的运动范围，疼痛评分,功能分数，放射学参数，对接受两种治疗的每位患者进行治疗后发生的任何并发症评估.
结果：描述性特征，不包括性别，在18例铸造治疗的患者和32例掌侧钢板治疗的患者中进行了评估，组间差异无统计学意义。各组的功能和放射学评估没有显着差异（p>0.05）。接受手术治疗的患者的手掌倾斜明显大于接受石膏治疗的患者（p=0.02）。步距大于2mm的患者的Mayo腕部评分明显降低（p=0.007；p<0.01）。符合步脱标准的患者的视觉模拟量表（VAS）得分明显更高（p=0.025；p<0.05）。放射学参数在可接受范围内的患者的Mayo腕部评分明显更高（p=0.007；p<0.01）。手臂的快速残疾，肩膀,放射学参数在可接受范围内的患者的Hand（DASH）评分显着降低（p=0.007；p<0.01）。
结论：在确定Frykman7-8型骨折的老年患者中，铸造和掌侧电镀处理产生了类似的结果。特别是在低期望值和多种合并症的患者中，石膏处理可以取得满意的效果。
方法：确定了2019年1月至2022年1月期间50例年龄在60岁及以上的Frykman7-8型骨折移位患者的临床结果。关节的运动范围，疼痛评分,功能分数，放射学参数，对接受两种治疗的每位患者进行治疗后发生的任何并发症评估.
结果：描述性特征，不包括性别，在18例铸造治疗的患者和32例掌侧钢板治疗的患者中进行了评估，组间差异无统计学意义。各组的功能和放射学评估没有显着差异（p>0.05）。接受手术治疗的患者的手掌倾斜明显大于接受石膏治疗的患者（p=0.02）。步距大于2mm的患者的Mayo腕部评分明显降低（p=0.007；p<0.01）。符合步脱标准的患者的视觉模拟量表（VAS）得分明显更高（p=0.025；p<0.05）。放射学参数在可接受范围内的患者的Mayo腕部评分明显更高（p=0.007；p<0.01）。手臂的快速残疾，肩膀,放射学参数在可接受范围内的患者的Hand（DASH）评分显着降低（p=0.007；p<0.01）。
结论：在确定Frykman7-8型骨折的老年患者中，铸造和掌侧电镀处理产生了类似的结果。特别是在低期望值和多种合并症的患者中，石膏处理可以取得满意的效果。
