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Distal Radius Fractures: Evolution in the Treatment Standard of Care 2009

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European Instructional Lectures

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The recent developments of many osteosynthesis and fixa-tion devices are the reason for the rapid changes in the treatment of distal radial fractures (DRFs). From a relative conservative policy of treatment according to the expected good results of these injuries, as reported by Colles and many authors, we are facing now a very aggressive treatment with open reduction and internal fixation. There is very often confusion between the different fractures types, the character of the injury and not least the patient groups, their age and activity level or expected activity level. We have to be careful not to treat all patients in the same way using the latest implant presented on the market. DRFs are unique in that emergence of technology has generated renewed interest in the treatment of these fractures and an increase in production of a variety of specific fixation devices. We cannot deny the economical factor and accept that this abundance of implants is driven by the manufacturers who envisage a huge new market. However we are still lacking evidence-based research which argues definitively for the new approach. The treatment of distal radial fracture remains a matter of debate and we aim in this paper to present where we are today in 2009. We are conscious that the actual solution to the problem is not definitive and the standard of care of today is not definitive either.

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  1. Hand and Upper Extremity Unit, Department of Orthopaedics, Lund University Hospital, Lund, Sweden

    Antonio Abramo & Philippe Kopylov

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  1. Antonio Abramo
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  1. Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, HA 7 4LP, UK

    George Bentley

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Abramo, A., Kopylov, P. (2009). Distal Radius Fractures: Evolution in the Treatment Standard of Care 2009. In: Bentley, G. (eds) European Instructional Lectures. European Federation of National Associations of Orthopaedics and Traumatology, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00966-2_14

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