title: [The combined fixation with splints and plaster after closed reduction for the treatment of distal fractures of radius in elderly patients].
abstract: OBJECTIVE
  To evaluate the effects of combined fixation with splints and plaster after closed reduction for the treatment of distal fractures of radius in elderly patients
  
  
  METHODS
  From January 2009 to January 2011, 122 patients with distal fractures of radius were treated by the united fixation with splints and plaster after closed reduction. There were 43 males and 79 females, ranging in age from 60 to 86 years with an average of 74 years. Among the patients, traffic accident injury was in 12 cases and fall injury was in 109 cases; all fractures were closed, the time form injury to visit was for 30 min to 7 days. The X-rays, wrist pain, functional status, range of motion and grasp force of patients were observed at follow-up. Cooney modified Green-O'Brien standard was used to evaluate the clinical effects.
  
  
  RESULTS
  All the patients were followed up from 3 months to 2 years with an average of 15.4 months. Re-displacement occurred in 8 cases (including 4 cases radial displacement, 3 cases dorsal displacement, 1 case palmaris displacement) and re-reduction occurred in 4 cases, surgical treatment was in 2 cases, refused to reset or surgical treatment in 2 cases. Radial shorten in 13 cases middle-later period. All fractures obtained healed. According to the Green-O'Brien standard, 46 cases got excellent results, 65 good, 6 fair, and 5 poor.
  
  
  CONCLUSIONS
  The combined fixation with splints and plaster after closed reduction is a effective method in treatment of distal fractures of radius in elderly patients, which can more overcome redisplacement of distal fractures of radius, recover function of wrist joint.
authors.affiliation: Department of Orthopaedics, Traditional Chinese Medicine of Xiangshan County, Xiangshan 315700, Zhejiang, China. huoxuehuayu@126.com
authors.forename: Xu-wei
authors.initials: XW
authors.lastname: Ma
authors.forename: Ying-huan
authors.initials: YH
authors.lastname: Zhao
authors.forename: Jing-chao
authors.initials: JC
authors.lastname: Shi
authors.forename: Zheng-yi
authors.initials: ZY
authors.lastname: Liu
authors.forename: Lie-min
authors.initials: LM
authors.lastname: Qian
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.forename: Hui-zhen
authors.initials: HZ
authors.lastname: Chi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002370:Casts, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D011885:Radius Fractures / Q000628:therapy*; D013165:Splints