title: [Osteoporotic fractures of the distal radius. What is new?].
abstract: The demographic development will result in an increase of up to 30 % of distal radius fractures. There are various therapy options but what is new? Conservative therapy: conservative therapy is reserved for stable fractures only. Osteosynthesis by K-wires: due to low biomechanical stability in older patients, insufficient functional and radiological results were achieved. External fixator: external fixators are used in compound and complex fractures and show better results than K-wire osteosynthesis. Angular stable plate osteosynthesis: with angular stable plates it is possible to achieve good results with complex fractures and they are currently the method of choice. Intramedullary osteosynthesis: intramedullary nails result in a faster functional improvement than angular stable plates but have limitations. New is that 90% of osteoporotic distal radial fractures are treated with angular stable plates which have shown good results in single study groups.
authors.affiliation: Berufsgenossenschaftliches Unfallkrankenhaus Hamburg, Bergedorfer Str. 10, 21033, Hamburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Meiners
authors.forename: C
authors.initials: C
authors.lastname: Jürgens
authors.forename: S
authors.initials: S
authors.lastname: Mägerlein
authors.forename: S
authors.initials: S
authors.lastname: Wallstabe
authors.forename: B
authors.initials: B
authors.lastname: Kienast
authors.forename: M
authors.initials: M
authors.lastname: Faschingbauer
mesh_terms: D000368:Aged; D015519:Bone Density / Q000502:physiology; D001860:Bone Plates; D001863:Bone Screws; D001864:Bone Wires; D016267:External Fixators; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011157:Population Dynamics; D011885:Radius Fractures / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D014954:Wrist Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*