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SYMPOSIUM - DISTAL RADIAL FRACTURES
Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 41-44

Distal radial fractures: Conservative treatment


Department of Orthopaedics, AIIMS, Raipur, Chhattisgarh, India

Correspondence Address:
Alok Chandra Agrawal
Department of Orthopaedics, AIIMS, Raipur, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JODP.JODP_28_20

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Undisplaced distal end radius fracture is traditionally managed with conservative treatment, that is, closed reduction and immobilization. This approach has excellent result in undisplaced distal radial fractures and in displaced fractures where stable reduction can be achieved after closed reduction. Subjective results of conservative treatment are as good as the results of operative treatment in patients aged > 65 years at 1-year follow-up. Closed reduction is done mainly with two methods – direct reduction by manipulation and by ligamentotaxis. Immobilization is done mainly by a cylindrical plaster cast. Immobilization of the wrist in neutral radial-ulnar deviation and neutral or slight extension is recommended. Rehabilitation is a very important part of conservative treatment and is started from the day of the first visit in the form of mobilization of adjacent joints and limb elevation. The goal of rehabilitation is to achieve maximum range of motion and strength in the extremity with good fracture healing.


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