Hemi-arthroplasty for distal radius fracture in the independent elderly - 16/09/17
, L. Merlini, M. Burnier
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Abstract |
Introduction |
The authors report their experience with hemi-arthroplasty in irreparable fresh distal radius fracture in independent elderly patients as first-line treatment (12 fractures in 11 women; mean age, 74 years) or in second line after clinically disabling primary failure (4 fractures in 4 women; mean age, 78 years).
Results |
In the 12 primary surgeries, at a mean 32 months’ follow-up, there were no complications requiring implant ablation; mean pain score was 1/10, flexion-extension 62°, Lyon Wrist score 75%, and Patient-Related Wrist Evaluation (PRWE) 22 points. In 2 of the 4 secondary surgeries, at a mean 24 months’ follow-up, there were no complications requiring implant ablation; mean pain score was 2.5/10, flexion–extension 62°, Lyon Wrist score 58%, and PRWE 50 points: i.e., slightly poorer results than in primary surgery.
Conclusion |
Salvage of complex fracture in independent elderly patients by hemi-arthroplasty, whether primary or secondary to failure, seems to be a considerable progress, to be confirmed in larger series.
Le texte complet de cet article est disponible en PDF.Keywords : Distal radius fracture, Elderly, Arthroplasty
Plan
Vol 103 - N° 6
P. 915-918 - octobre 2017 Retour au numéro
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