Intra-articular fractures of the distal radius in high demand elderly patients: techniques and timing of treatment

Fractures of the distal radius are frequent in the people older than 65 years, especially in women. Contrary to past assumptions of low activity levels among the elderly, there is a growing segment of this population that demand higher functional capabilities. This shift in demographics has led to a re-evaluation and evolution of treatment strategies. The aim of our study is to perform a review of the literature to better identify and define the optimal treatment for intra-articular distal radius fracture in active people 65 years old or more. The selection of papers included in the review was conducted on PubMed and Google Scholar databases: 10 studies were included. Current evidence demonstrates that surgical treatment provides measurable benefits in quicker return to daily activities and fewer complications for high demand patients older than 65 years than conservative treatment. However, this does not always correspond to clinical results and satisfaction of the patient. According to the literature, the treatment plan should be personalized for every patient taking into account the features of the fracture, functional requests, daily activities and possible comorbidities.