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European Journal of Orthopaedic Surgery & Traumatology

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01-12-2018 | Original Article • WRIST - FRACTURES

Wrist hemiarthroplasty for irreparable DRF in the elderly

Authors: Guillaume Herzberg, Arnaud Walch, Marion Burnier

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 8/2018

Abstract

Introduction

The authors update their results of wrist hemiarthroplasty for irreparable distal radius fracture in the elderly, at a minimum of 2-year follow-up.

Materials and methods

Between 2011 and 2018, 25 consecutive independent elderly patients (24 female, 27 wrists) were treated with wrist hemiarthroplasty for distal radius fracture at a single institution. The average age was 77 years (range 65–88). They all were independent at home. A total of 19 wrists were treated at the acute stage, and 8 secondary procedures. The average follow-up was 32 months (range 24–44).

Results

There was no dislocation, loosening, infection nor removal of the implants. We observed 3 CRPS. At final follow-up, the average VAS pain was 1/10, mean forearm pronation/supination arc was 150°, and mean active flexion–extension arc was 60°. Average wrist extension was 36°. Mean grip strength was 68% of contralateral side. Mean Lyon wrist score was 74%. Mean Quick DASH score was 26%, and mean PRWE score was 25%.

Discussion

Our data suggest that treatment of acute irreparable distal radius fracture in the independent elderly patient with a bone-preserving primary wrist hemiarthroplasty may be a viable option. Longer-term follow-up are needed to confirm these preliminary data.

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Title: Wrist hemiarthroplasty for irreparable DRF in the elderly
Authors: Guillaume Herzberg
Arnaud Walch
Marion Burnier
Publication date: 01-12-2018
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 8/2018
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2228-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Wrist hemiarthroplasty for irreparable DRF in the elderly

Abstract

Introduction

Materials and methods

Results

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Discussion

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