Optimal management of distal radial fractures is a controversial topic. Defining the “elderly” patient is arbitrary and often requires a thorough assessment of activity and function to decide between nonoperative and operative intervention. In this review, we discuss our algorithm and indications for operative treatment, along with the parameters to continue to nonoperative management. Furthermore, we review tips and tricks to avoid pitfalls for operative intervention. In this unique, but growing patient population, optimal results can be achieved with both nonoperative and operative management, with paramount importance relying on specific indications based on activity and function.
Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY
Financial Disclosure: The authors have no financial disclosures and report no conflicts of interest in regard to this work.
Correspondence to Frank A. Liporace, MD, Director, Orthopaedic Trauma Research, Associate Professor of Orthopaedic Surgery, Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 E 17th Street, Suite 1402, New York, NY 10003 Tel: +201-309-2426; fax: +212-598-6581; e-mail: firstname.lastname@example.org.