TOTBİD Dergisi

TOTBİD Dergisi

2014, Cilt 13, Sayı, 2     (Sayfalar: 177-193)

Overview and conservative treatment of distal radius fractures

Eftal Güdemez 1-2, Serkan Uludağ 3, Yaprak Ataker 4

1 Koç Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Bölümü, Rumeli Feneri, İstanbul
2 Amerikan Hastanesi Ortopedi ve Travmatoloji Bölümü, El ve Mikrocerrahi Ünitesi, Nişantaşı, İstanbul
3 Amerikan Hastanesi, Ortopedi ve Travmatoloji Bölümü, Nişantaşı, İstanbul
4 Amerikan Hastanesi, Fizik Tedavi ve Rehabilitasyon Bölümü, Nişantaşı, İstanbul

DOI: 10.14292/totbid.dergisi.2014.20
Görüntüleme: 673
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İndirme : 16128

The most common mechanism of the distal radius fractures is falling down with the hand outstretched. These fractures show a great variety: ranging from a simple metaphyseal bending to intra-articular, comminuted, and unstable complex type of fractures. The purposes of the treatment are; 1) to provide an acceptable and painless range of motion to the patient`s wrist, 2) to bring back the patient to the preinjury daily activity level, and 3) to reduce the risk of degenerative changes and possible permanent disability. Conservative treatment is more cumbersome with particular difficulties; it requires frequent radiographic and clinical control; it is not a simple treatment modality and demands deep knowledge and experience; its complications are not rare. This review will cover the prerequisites, indications, and contraindications of conservative treatment of the distal radius. The process of treatment will be explained from beginning to the end with recommended standard protocols; alternative solutions and treatment procedures will be given for the potential complications and problems.

Anahtar Kelimeler : distal radius fractures; conservative treatment; complications