Özet:

OBJECTIVE: The aim of this study is to evaluate retrospectively clinical and radiological results of the conservatively treated distal radius fractures of 60 years or older patients. METHODS: 65 patients (40 male,25 female) with radius distal fracture that had occurred between 2005-2011 were included in the study. Inclusion criteria was; patients who had closed reduction and short arm cast, patients who had bone mineral density evaluation, patients who was older than 60 years old. All included patients were called to come examination. When the patients come to examination; comparative direct radiograms of both wrists of the patients were taken. The grip strength of both hands was measured. Clinical results were evaluated based on the Modified Gartland and Werley Scoring System (MGWSS) and the radiological results were evaluated based on Scheck’s Criteria (SC). RESULTS: Mean age was 68.1 years (60 – 82). Average follow-up duration was 25.5 months (10–45). Average T score was –2.47 (–1.2; – 4.9). Average of the MGWSS results was 7.5 (0 – 22). Average strength of fist squeezing in 26 patients without loss of radial height more than 5mm or volar inclination more than 10 degrees was 76.5% (37 – 100) compared to the uninvolved side whereas it was 62.3% (33 – 89%) in 24 patients with loss of radial height more than 5mm, 71.2% (37 – 100%) in 26 patients with volar inclination more than 10 degrees, and 60.1% (range: 33 – 89%) in 11 patients who has both radial shortening and volar tilt loss. CONCLUSION: Elderly patient’s distal radius fractures are commonly being treated conservatively because of patients’ low physilogic demand. Because of development in implant techniology, surgery can give good results in cases with both radial shortening and volar tilt loss.

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