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Osteologie 2024; 33(04): 251-259
DOI: 10.1055/a-2414-1632
Originalarbeit

Osteoporotische Indikatorfraktur: Die distale Radiusfraktur

Distal Radius Fracture- an Osteoporotic Indicator Fracture
Lisa Oezel 
1   Orthopädie und Unfallchirurgie, Universitätsklinikum Düsseldorf, Dusseldorf, Germany
,
Simon Thelen
1   Orthopädie und Unfallchirurgie, Universitätsklinikum Düsseldorf, Dusseldorf, Germany
,
Uwe Maus
2   Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
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Zusammenfassung

Distale Radiusfrakturen stellen die häufigsten Frakturen des Menschen dar. Bei älteren Patienten sind sie häufig, und die Inzidenz nimmt mit dem demographischen Wandel der Bevölkerung weiter zu. Als Indikatorfraktur für Osteoporose, kommt der distalen Radiusfraktur eine besondere Bedeutung zu. Neben einer adäquaten Therapie der Fraktur, welche individuell an die Frakturmorphologie und Patientenbedürfnisse angepasst werden sollte und operativ oder konservativ erfolgen kann, ist zur Vermeidung weiterer Osteoporose-assoziierter Frakturen die Einleitung einer Osteoporose- Therapie und Diagnostik unabdingbar. Ziel der Behandlung ist es, eine schmerzfreie Extremität mit guter Funktion wiederherzustellen und zu erhalten. Bei der Entscheidung für einen chirurgischen Eingriff sollten die Knochenqualität und die funktionelle Aktivität des Patienten besonders berücksichtigt werden. Wenn eine chirurgische Intervention angebracht ist, wird in der Regel eine winkelstabile palmare Plattenosteosynthese eingesetzt. Die chirurgische Behandlung verbessert oftmals die Frakturstellung und damit die radiologischen Parameter, führt jedoch nicht unbedingt zu besseren klinischen Ergebnissen. Daher sollte sich bei der Behandlung distaler Radiusfrakturen des älteren Menschen individuell und mit Sorgfalt für ein Behandlungsregime entschieden werden.

Abstract

Distal radius fractures are the most common fractures in humans. They often occur in older patients and the incidence continues to increase with demographic changes in the population. As an indicator fracture for osteoporosis, the distal radius fracture is of particular importance. In addition to an adequate treatment of the fracture, which should be individually adapted to the fracture morphology and patient needs and which can be performed surgically or conservatively, the initiation of osteoporosis diagnostics and treatment is essential to prevent further osteoporosis-associated fractures. The aim of treatment is to restore and maintain a pain-free extremity with good function. When deciding in favour of surgical intervention, special consideration should be given to the bone quality and functional activity of the patient. If surgical intervention is appropriate, angular stable palmar plate osteosynthesis is usually used. Surgical treatment often improves the fracture position and thus the radiological parameters, but does not necessarily lead to better clinical results. Therefore, when treating distal radius fractures in the elderly, a treatment regime should be decided upon individually and with care.

Schlüsselwörter

distale Radiusfraktur - Osteoporose - winkelstabile Plattenosteosynthese

Keywords

distal radius fracture - osteoporosis - polyaxial plate osteosynthesis


Publication History

Received: 15 July 2024

Accepted: 11 September 2024

Article published online:
27 November 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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