OSTEOPOROTIC DISTAL RADIUS FRACTURES: A RETROSPECTIVE ANALYSIS IN A TERTIARY CARE SETTING
Main Article Content
Keywords
Osteoporosis, Distal radius fracture, Fragility fracture, Elderly, Retrospective study, Volar plate, Conservative treatment, AO classification, Bone healing, Orthopedic surgery
Abstract
Background:
Osteoporotic distal radius fractures are among the most common fragility fractures in the elderly, often resulting from low-energy trauma. They pose management challenges due to poor bone quality and increased complication risks.
Objectives:
To analyze the demographic profile, fracture characteristics, treatment patterns, and short-term outcomes of osteoporotic distal radius fractures in patients treated at a tertiary care center.
Materials and Methods:
This retrospective study included 104 patients aged ≥50 years with distal radius fractures and confirmed or clinically suspected osteoporosis. Data were collected on age, gender, mode of injury, AO/OTA fracture classification, treatment modality, and outcomes at 3 months. Radiological union, complication rates, and pain scores were assessed.
Results:
The mean age was 67.2 ± 8.4 years, with a female predominance (77.9%). Type A fractures were most common (47.1%). Conservative treatment was used in 53.8% and surgical intervention in 46.2%, with volar plating being the most common method. Radiological union was achieved in 93.3% of cases. Surgical patients had lower VAS pain scores and faster return to activity.
Conclusion:
Osteoporotic distal radius fractures are prevalent in elderly women. Both conservative and surgical treatments yield favorable short-term outcomes, though surgical intervention may offer better functional recovery.
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Dr Benson C Binny
Assistant Professor, Department of Orthopaedics, KMCT Medical College, Manassery, Kozhikode, Kerala