Open Reduction Internal Fixation (ORIF) vs Distal Femoral Replacement (DFR) for Treatment of AO 33C Fractures in the Elderly: A Review of Functional Outcomes and Cost Analysis

OrthoMedia ◽  
2022 ◽  
Keyword(s):  
Cost Analysis ◽  
Internal Fixation ◽  
Functional Outcomes ◽  
Open Reduction ◽  
The Elderly ◽  
Open Reduction Internal Fixation ◽  
Distal Femoral Replacement

Treatment of Distal Radius Fractures in Women Older than 80 Years: A Preliminary Report of Functional and Radiographic Outcomes after Open Reduction and Internal Fixation

2021 ◽  
Author(s):  
Lili E. Schindelar ◽  
Richard M. McEntee ◽  
Robert E. Gallivan ◽  
Brian Katt ◽  
Pedro K. Beredjiklian
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Functional Outcomes ◽  
Open Reduction ◽  
The Elderly ◽  
Distal Radius Fractures ◽  
Implant Design ◽  
Complication Rates ◽  
Radius Fractures ◽  
Hardware Failures

Abstract Background Distal radius fractures are one of the most common fractures seen in the elderly. The management of distal radius fractures in the elderly, especially patients older than 80 years, has not been well defined. The purpose of this study was to evaluate operative treatment of distal radius fractures in patients older than 80 years to determine functional outcomes and complication rates. Materials and Methods A retrospective review was performed to identify patients 80 years or older who were treated for a distal radius fracture with open reduction and internal fixation (ORIF). Medical records were reviewed for demographics, medical history, functional outcomes including quick Disabilities of the Arm, Shoulder, and Hand (qDASH), radiographs, and postoperative complications. Results There were 40 patients included for review. Average age was 84 years. The preoperative qDASH score was 69. At 6 months follow-up, the postoperative qDASH score was 13 (p < 0.001). There were five (12.5%) complications reported postoperatively. All fractures healed with adequate radiographic alignment and there were no hardware failures. Conclusion Distal radius fractures in patients older than 80 years treated with ORIF have good functional outcomes and low complication rates. Increased functionality and independence of the elderly, as well as updated implant design can lead to the effective surgical management of these patients. When indicated from a clinical perspective, operative fixation of distal radius fractures should be considered in patients older than 80 years.

Outcome following Open Reduction Internal Fixation (ORIF) of Acetabular Fractures in the Elderly

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ethan Sanders ◽  
Alexandra Finless ◽  
Andrew Adamczyk ◽  
Johanna Dobransky ◽  
Geoffrey Wilkin ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
The Elderly ◽  
Open Reduction Internal Fixation ◽  
Acetabular Fractures

Factors influencing functional outcomes following open reduction internal fixation of acetabular fractures

Injury ◽  
2020 ◽  
Author(s):  
Noah M. Joseph ◽  
Christopher D. Flanagan ◽  
Isabella M. Heimke ◽  
Elizabeth Cho ◽  
Sahini Pothireddy ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcomes ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Acetabular Fractures ◽  
Factors Influencing
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