Synopsis Distal radius fractures (DRFs) are the second most prevalent fracture in elderly individuals. DRFs can be managed by casting, internal fixation, external fixation, or percutaneous pinning. Casting is a noninvasive procedure; however, there are chances of malunion or fracture associated with it. Internal fixation maintains fracture alignment but is an invasive surgical procedure.
External fixation and pinning are less invasive and less expensive; however, pin site infections frequently occur. Despite decades of experience in DRF management, there is no consensus as to the optimal treatment modality, especially for older individuals. This week’s “ MED FACT ” is a secondary analysis of the WRIST (Wrist and Radius Injury Surgical Trial) randomized clinical trial from JAMA, “ Assessment of Distal Radius Fracture Complications Among Adults 60 Years or Older: A Secondary Analysis of…
