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.

译文

人口统计学的发展将导致distal骨远端骨折增加多达30%。有多种治疗选择,但有什么新功能?保守疗法:保守疗法仅适用于稳定的骨折。通过K线进行骨合成:由于老年患者的生物力学稳定性低,因此无法获得足够的功能和放射学结果。外固定器:外固定器用于复合型和复杂型骨折中,其效果比K线骨固定术更好。角稳定板的骨合成:利用角稳定板可以对复杂的骨折取得良好的效果,目前是首选方法。髓内接骨术:髓内钉的功能改善比角稳定板快,但有局限性。新的特点是使用角稳定钢板治疗90%的骨质疏松性远端radial骨骨折,在单个研究组中已显示出良好的效果。

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