Is Surgery the Right Approach for DRF?

Peter Pollack

Distal radius fracture (DRF) is the most common fracture we see,” said Aaron Nauth, MD, MSc, during an AAOS Annual Meeting symposium on Surgical versus Nonsurgical Treatment of Common Upper Extremity Injuries: An Evidence-Based Approach. “But what do we really know about it? We know that malunion is the most common treatment complication and that symptomatic malunion in active patients may require a corrective osteotomy.

“Ideally, we’d like to determine which fractures need to be addressed surgically,” he continued. “To answer that, we need to know what degree of malunion results in functional limitation, whether surgery prevents malunion, and whether we can improve functional outcomes with surgery. Further, we’d like to understand the influence of patient age and surgical technique on the management of DRF.”

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