closeup photo of a mans broken arm in a red cast

Image source: Adobe Stock/Pixelwolf2

News • Broken bones, multiple treatment options

Cast or surgery: Which is better for older adults with arm fractures?

A recent study in the Journal of Orthopaedic Research found that cast immobilization is as effective as surgery for treating older patients with bone fractures near the wrist.

The study, published in the Journal of Orthopaedic Research, included 276 patients aged 70–89 years who suffered a distal radius fracture that didn’t penetrate the skin and that was treated conservatively or surgically between August 2018 and January 2022. Cast immobilization was used on 213 patients, whereas the other 63 had plates or pins placed during different types of surgery.

Nineteen patients experienced complications within the first year, with the most common being complex regional pain syndrome (five patients who underwent surgery and two who received casts) and carpal tunnel syndrome (six patients who received casts). 

After one year, no statistically significant differences were found between the groups in terms of disability of the arm, shoulder, and hand, or regarding range of motion. “There is a requirement for multi‐center prospective studies... using larger patient populations,” the authors wrote. 


Source: Wiley

23.08.2023

Read all latest stories

Related articles

Photo

Video • Innovative approach

Osteoarthritis: Nasal cartilage relieves knee pain

Cartilage cells from the nasal septum can not only help repair cartilage injuries in the knee, they can also withstand the chronic inflammatory tissue environment in osteoarthritis and even…

Photo

News • Researchers explore new treatment method

Using plasma irradiation to speed up bone healing

Aiming to shorten recovery times after a bone fracture, an Osaka Metropolitan University-led research group is focusing on plasma irradiation as a treatment method to speed up bone healing.

Photo

News • Omitting axillary lymph node removal

Breast cancer trial explores benefits of less extensive surgery

A new trial could pave the way for more gentle surgery of breast cancer: The researchers explore the possibility of sparing the lymph nodes in the armpit - even if metastases are already present.

Related products

Subscribe to Newsletter