Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures—An Updated Narrative Review
Distal radius fractures (DRFs) are the most common among all kinds of fractures with an increase in incidence due to the rapidly expanded size of the elderly population in the past decades. Both non-surgical and surgical treatments can be applied for this common injury. Nowadays, more and more elder...
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| Format: | Article |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/21/6801 |
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| author | Ting-Han Tai Po-Jui Chu Kuan-Yu Lu Jeffrey J. Wu Chin-Chean Wong |
| author_facet | Ting-Han Tai Po-Jui Chu Kuan-Yu Lu Jeffrey J. Wu Chin-Chean Wong |
| author_sort | Ting-Han Tai |
| collection | DOAJ |
| description | Distal radius fractures (DRFs) are the most common among all kinds of fractures with an increase in incidence due to the rapidly expanded size of the elderly population in the past decades. Both non-surgical and surgical treatments can be applied for this common injury. Nowadays, more and more elderly patients with DRFs undergo surgical treatments to restore pre-injury activity levels faster. However, optimal treatment for geriatric DRFs is still debated, and careful evaluation and selection of patients are warranted considering clinical and functional outcomes, and complications following surgical treatments. Furthermore, osteoporosis is a predominant factor in elderly DRFs mostly deriving from a low-energy trauma, so many treatment modalities are developed to enhance better bone healing. Among various options for bone augmentation, bone cement is one of the most widely used measures. Bone cement such as calcium phosphate theoretically improves fracture stability and healing, but whether the elderly patients with DRFs can significantly benefit from surgical fixation with bone cement augmentation (BCA) remains controversial. Hence, in the present review, the latest literature regarding current concepts of management and evidence about volar locking plate fixation (VLPF) with BCA for elderly DRFs was searched in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Web of Science; out of >1000 articles, full texts of 48 and 6 articles were then examined and analyzed separately for management and VLPF with BCA for elderly DRFs. We aim to provide the readers with updates concerning the above issues. |
| first_indexed | 2024-03-11T11:27:16Z |
| format | Article |
| id | doaj.art-5af6093c0c524b1f8a56c2055318b983 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T11:27:16Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5af6093c0c524b1f8a56c2055318b9832023-11-10T15:06:30ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011221680110.3390/jcm12216801Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures—An Updated Narrative ReviewTing-Han Tai0Po-Jui Chu1Kuan-Yu Lu2Jeffrey J. Wu3Chin-Chean Wong4Department of Orthopedics, Taipei Medical University Shuang Ho Hospital, New Taipei City 235041, TaiwanDepartment of Orthopedics, Taipei Medical University Shuang Ho Hospital, New Taipei City 235041, TaiwanDepartment of Orthopedics, Taipei Medical University Shuang Ho Hospital, New Taipei City 235041, TaiwanDepartment of Orthopedics, Taipei Medical University Shuang Ho Hospital, New Taipei City 235041, TaiwanDepartment of Orthopedics, Taipei Medical University Shuang Ho Hospital, New Taipei City 235041, TaiwanDistal radius fractures (DRFs) are the most common among all kinds of fractures with an increase in incidence due to the rapidly expanded size of the elderly population in the past decades. Both non-surgical and surgical treatments can be applied for this common injury. Nowadays, more and more elderly patients with DRFs undergo surgical treatments to restore pre-injury activity levels faster. However, optimal treatment for geriatric DRFs is still debated, and careful evaluation and selection of patients are warranted considering clinical and functional outcomes, and complications following surgical treatments. Furthermore, osteoporosis is a predominant factor in elderly DRFs mostly deriving from a low-energy trauma, so many treatment modalities are developed to enhance better bone healing. Among various options for bone augmentation, bone cement is one of the most widely used measures. Bone cement such as calcium phosphate theoretically improves fracture stability and healing, but whether the elderly patients with DRFs can significantly benefit from surgical fixation with bone cement augmentation (BCA) remains controversial. Hence, in the present review, the latest literature regarding current concepts of management and evidence about volar locking plate fixation (VLPF) with BCA for elderly DRFs was searched in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Web of Science; out of >1000 articles, full texts of 48 and 6 articles were then examined and analyzed separately for management and VLPF with BCA for elderly DRFs. We aim to provide the readers with updates concerning the above issues.https://www.mdpi.com/2077-0383/12/21/6801elderly distal radius fracturemanagementvolar platebone cement augmentation |
| spellingShingle | Ting-Han Tai Po-Jui Chu Kuan-Yu Lu Jeffrey J. Wu Chin-Chean Wong Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures—An Updated Narrative Review Journal of Clinical Medicine elderly distal radius fracture management volar plate bone cement augmentation |
| title | Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures—An Updated Narrative Review |
| title_full | Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures—An Updated Narrative Review |
| title_fullStr | Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures—An Updated Narrative Review |
| title_full_unstemmed | Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures—An Updated Narrative Review |
| title_short | Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures—An Updated Narrative Review |
| title_sort | current management and volar locking plate fixation with bone cement augmentation for elderly distal radius fractures an updated narrative review |
| topic | elderly distal radius fracture management volar plate bone cement augmentation |
| url | https://www.mdpi.com/2077-0383/12/21/6801 |
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