{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:53:38Z","timestamp":1789844018589,"version":"4.0.1"},"reference-count":16,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T00:00:00Z","timestamp":1539043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe aim of this study was to evaluate the efficacy of conservative treatment (cast immobilization) for complex intra-articular distal radius fractures (AO type C) in elderly patients and to determine whether or not the application of a volar locking plate (VLP) is necessary.\nMethods\nA retrospective study on patients treated at two different clinics was conducted between 2014 and 2016. A total of 49 elderly patients ?60 years old were treated either operatively with volar locking plate fixation (n = 25; 7 males and 18 females; mean age: 66.6 \u00b1 7.4 years) or conservatively with cast immobilisation (n = 24; 7 males and 17 females; mean age: 68.9 \u00b1 8.7 years) for complex intra-articular distal fractures. Clinical, functional and radiological evaluations were conducted at the final follow-up examinations of the patients.\nResults\nThere was no statistically significant difference between the two groups of patients with respect to the follow-up periods, gender, age and fracture type (p &gt; 0.05). At the end of mean follow-up time of 16 months the grip strength (p = 0.03), radial tilt (p = 0.06), radial inclination (p = 0.01), radial height (p = 0.01) and articular step-off (p = 0.02) were significantly better in the volar locking plate group, while there was no significant difference between the functional results (based on the Quick Disabilities of the Arm, Shoulder and Hand score) (p = 0.8) and range of motion. The grip strength was significantly higher in the VLP group when compared to the cast group (p = 0.03).\nConclusion\nThe results of this study suggest that the locking plate fixation for the complex intra-articular distal radius fractures provides better results for the grip strength and radiographic parameters than cast immobilization in patients ?60 years old, while no difference was found between the clinical and functional results.\n\n\nLevel of Evidence\nLevel III, Therapeutic Study.\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2018.10.005","type":"journal-article","created":{"date-parts":[[2018,10,28]],"date-time":"2018-10-28T18:11:16Z","timestamp":1540750276000},"page":"15-18","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":32,"title":["Cast immobilization versus volar locking plate fixation of AO type C distal radial fractures in patients aged 60 years and older"],"prefix":"10.5152","volume":"53","author":[{"given":"Eyup","family":"Cagatay ZENG\u0130N","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cem","family":"OZCAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cihan","family":"ASLAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tugrul","family":"BULUT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhittin","family":"SENER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"10.1016\/j.aott.2018.10.005_bib1","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.2106\/JBJS.I.00968","article-title":"Distal radial fractures in the elderly: operative compared with non operative treatment","volume":"92","author":"Egol","year":"2010","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.aott.2018.10.005_bib2","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1177\/1753193417727139","article-title":"Intra-articular distal Radius fractures in elderly patients: a randomized prospective study of casting versus volar plating","volume":"43","author":"Martinez-Mendez","year":"2018","journal-title":"J\u00a0Hand Surg Eur Vol"},{"key":"10.1016\/j.aott.2018.10.005_bib3","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1142\/S021881041450004X","article-title":"Comparison between cast immobilization versus volar locking plate fixation of distal radius fractures in active elderly patients, the Asian perspective","volume":"19","author":"Chan","year":"2014","journal-title":"Hand Surg"},{"key":"10.1016\/j.aott.2018.10.005_bib4","doi-asserted-by":"crossref","first-page":"2146","DOI":"10.2106\/JBJS.J.01597","article-title":"A\u00a0prospective randomized trial comparing non operative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older","volume":"93","author":"Arora","year":"2011","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.aott.2018.10.005_bib5","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/BOT.0b013e31819b24e9","article-title":"A\u00a0comparative study of clinical and radiologic outcomes of unstable colles type distal radius fractures in patients older than 70 years: non operative treatment versus volar locking plating","volume":"23","author":"Arora","year":"2009","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.aott.2018.10.005_bib6","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1302\/0301-620X.93B2.25631","article-title":"What are the radiological predictors of functional outcome following fractures of the distal radius?","volume":"93","author":"Ng","year":"2011","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.aott.2018.10.005_bib7","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.hcl.2005.02.008","article-title":"Radiographic evaluation for distal radius fractures","volume":"21","author":"Medoff","year":"2005","journal-title":"Hand Clin"},{"key":"10.1016\/j.aott.2018.10.005_bib8","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jht.2015.09.003","article-title":"Specificity of the minimal clinically important difference of the Quick Disabilities of Arm Shoulder and Hand (QDASH) for distal upper extremity conditions","volume":"29","year":"2016","journal-title":"J\u00a0Hand Ther"},{"key":"10.1016\/j.aott.2018.10.005_bib9","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1007\/s11999-008-0660-2","article-title":"Distal radius fractures in older patients: is anatomic reduction necessary?","volume":"467","author":"Synn","year":"2009","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.aott.2018.10.005_bib10","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.crad.2006.08.013","article-title":"Do radiographic indices of distal radius fracture reduction predict outcomes in older adults receiving conservative treatment","volume":"62","author":"Jaremko","year":"2007","journal-title":"Clin Radiol"},{"key":"10.1016\/j.aott.2018.10.005_bib11","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1302\/0301-620X.82B1.10101","article-title":"Anatomical reduction of intra-articular fractures of the distal radius. An arthroscopically-assisted approach","volume":"82","author":"Mehta","year":"2000","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.aott.2018.10.005_bib12","first-page":"779","article-title":"The treatment of displaced intra-articular distal Radius fractures in elderly patients","volume":"111","author":"Bartl","year":"2014","journal-title":"Dtsch Arztebl Int"},{"key":"10.1016\/j.aott.2018.10.005_bib13","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.jhsa.2010.01.028","article-title":"Comparison between external fixation and cast treatment in the management of distal radius fractures in patients aged 65 years and older","volume":"35","author":"Aktekin","year":"2010","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2018.10.005_bib14","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1053\/jhsu.2000.jhsu025a0019","article-title":"Outcome following nonoperative treatment of displaced distal radius fractures in low demand patients older than 60 years","volume":"25","author":"Young","year":"2000","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.aott.2018.10.005_bib15","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1007\/s00776-010-1496-7","article-title":"Differential onset patterns and causes of carpal tunnel syndrome after distal radius fracture: a retrospective study of 105 wrists","volume":"15","author":"Itsubo","year":"2010","journal-title":"J\u00a0Orthop Sci"},{"key":"10.1016\/j.aott.2018.10.005_bib16","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.ocl.2015.09.014","article-title":"Complications of distal radius fixation","volume":"47","author":"Lee","year":"2016","journal-title":"Orthop Clin North Am"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17306363?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17306363?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3420\/3366","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:31:56Z","timestamp":1763465516000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3420"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,6]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,1]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2018.10.005","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Cast immobilization versus volar locking plate fixation of AO type C distal radial fractures in patients aged 60 years and older","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2018.10.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}