[Which distal radius fractures can be treated conservatively?].
Roughly 80% of distal radial fractures can be treated conservatively. To decide which fractures should be treated surgically and which can be treated conservatively we divide them into four categories; metaphyseal bending-fractures, epiphyseal buckle-fractures, avulsion-fractures of the articular rim and fractures of the growing skeleton. Metaphyseal bending-fractures with dorsal inclination of the distal fragment (Colles' fracture) can generally be treated conservatively, those with palmar slanting of the distal fragment (Smith's fracture) must be stabilized surgically. The intraarticular fractures (avulsion-fractures and epiphyseal buckle-fractures) must be reduced anatomically and stabilized by osteosynthesis. In the growing skeleton Aitken 0 and I respectively Salter I and II fractures can be treated conservatively.
Blatter
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Klinik für Orthopädische Chirurgie, Kantonsspital St. Gallen.
Magerl
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F
D002370:Casts, Surgical; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D011885:Radius Fractures / Q000145:classification / Q000601:surgery / Q000628:therapy*
Welche distalen Radiusfrakturen können konservativ behandelt werden?