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Distal Radius Fractures

Tägil, Magnus LU (2021) p.601-676
Abstract

Being the most common of the upper extremity fractures, the distal radius fracture rightfully earns its attraction. In a global population rapidly growing older, the number of patients with a distal radius fracture will increase. Innovative devices have been developed in the last few decades to restore the anatomy. The well-trained surgeon has all the options to fix the majority of fractures in an anatomic position, not only at surgery but also after healing, and with a minimum of complications. However, the present trend in many countries to increasingly treat the patients surgically has been questioned. Is it sustainable and is it cost effective, given the total resources allocated to musculoskeletal trauma? Are we overtreating a... (More)

Being the most common of the upper extremity fractures, the distal radius fracture rightfully earns its attraction. In a global population rapidly growing older, the number of patients with a distal radius fracture will increase. Innovative devices have been developed in the last few decades to restore the anatomy. The well-trained surgeon has all the options to fix the majority of fractures in an anatomic position, not only at surgery but also after healing, and with a minimum of complications. However, the present trend in many countries to increasingly treat the patients surgically has been questioned. Is it sustainable and is it cost effective, given the total resources allocated to musculoskeletal trauma? Are we overtreating a condition that will end up with a well-functioning wrist regardless of treatment? Just as we have improved the surgical solutions, we need to improve the conservative treatment. The future research will continue in this direction, and with improved and more sensitive outcome instruments, automated follow-up in registers or in the medical records, automated radiographic analyses, and analyses and predictions made via machine learning and by artificial intelligence, we will have tools to identify which fractures need to be fixed and the best treatment for the individual patient.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
distal radius fractures, DRUJ stability, fracture stability, outcome, surgical technique
host publication
Green's Operative Hand Surgery, 8th Edition : 2-Volume Set - 2-Volume Set
pages
76 pages
publisher
Elsevier
external identifiers
  • scopus:85215137821
ISBN
9780323697934
9780323697941
DOI
10.1016/B978-0-323-69793-4.00015-8
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2023 Elsevier Inc. All rights reserved.
id
77227344-1431-44ba-9ab5-15974a930c43
date added to LUP
2025-05-08 15:40:13
date last changed
2025-05-08 15:40:36
@inbook{77227344-1431-44ba-9ab5-15974a930c43,
  abstract     = {{<p>Being the most common of the upper extremity fractures, the distal radius fracture rightfully earns its attraction. In a global population rapidly growing older, the number of patients with a distal radius fracture will increase. Innovative devices have been developed in the last few decades to restore the anatomy. The well-trained surgeon has all the options to fix the majority of fractures in an anatomic position, not only at surgery but also after healing, and with a minimum of complications. However, the present trend in many countries to increasingly treat the patients surgically has been questioned. Is it sustainable and is it cost effective, given the total resources allocated to musculoskeletal trauma? Are we overtreating a condition that will end up with a well-functioning wrist regardless of treatment? Just as we have improved the surgical solutions, we need to improve the conservative treatment. The future research will continue in this direction, and with improved and more sensitive outcome instruments, automated follow-up in registers or in the medical records, automated radiographic analyses, and analyses and predictions made via machine learning and by artificial intelligence, we will have tools to identify which fractures need to be fixed and the best treatment for the individual patient.</p>}},
  author       = {{Tägil, Magnus}},
  booktitle    = {{Green's Operative Hand Surgery, 8th Edition : 2-Volume Set}},
  isbn         = {{9780323697934}},
  keywords     = {{distal radius fractures; DRUJ stability; fracture stability; outcome; surgical technique}},
  language     = {{eng}},
  month        = {{01}},
  pages        = {{601--676}},
  publisher    = {{Elsevier}},
  title        = {{Distal Radius Fractures}},
  url          = {{http://dx.doi.org/10.1016/B978-0-323-69793-4.00015-8}},
  doi          = {{10.1016/B978-0-323-69793-4.00015-8}},
  year         = {{2021}},
}