{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T22:35:59Z","timestamp":1785105359940,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T00:00:00Z","timestamp":1567468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004731","name":"Natural Science Foundation of Zhejiang Province","doi-asserted-by":"publisher","award":["LY16H060011"],"award-info":[{"award-number":["LY16H060011"]}],"id":[{"id":"10.13039\/501100004731","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007194","name":"Wenzhou Municipal Science and Technology Bureau","doi-asserted-by":"publisher","award":["Y20180035"],"award-info":[{"award-number":["Y20180035"]}],"id":[{"id":"10.13039\/501100007194","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The treatment of senile distal radius fractures had not been clearly defined. The objective of this study was to identify the factors associated with the decision for operative treatment of displaced distal radius fractures in patients aged over 55\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data of 318 patients with displaced distal radius fractures were collected on patient\u2010, fracture\u2010 and surgeon\u2010related characteristics that were plausibly related to the decision for operation. Mean comparisons or chi\u2010squared test were used for univariate analysis of the above\u2010mentioned factors, and then multiple logistic regression was used to identify factors associated with the decision for operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Univariate analysis showed that age, osteoporosis, Charlson score, associated orthopaedic injuries requiring surgery, Orthopaedic Trauma Association (AO) and Fernandez classification, radial height, volar tilt, volar\/dorsal comminution, ulnar variance, intra\u2010articular displacement\/step\u2010off, associated distal radioulnar joint instability or radiocarpal joint dislocation and subspecialty of treating surgeons had statistically significant association with operative intervention. In the multivariate analysis, the predictors of operative intervention were younger patient age (<jats:italic>P<\/jats:italic> = 0.028), associated orthopaedic injuries requiring surgery (<jats:italic>P<\/jats:italic> = 0.020), higher AO classification (<jats:italic>P<\/jats:italic> = 0.037), higher Fernandez classification (<jats:italic>P<\/jats:italic> = 0.041), radial shortening &gt;5 mm (<jats:italic>P<\/jats:italic> = 0.020), volar tilt &gt; \u221210\u00b0 (<jats:italic>P<\/jats:italic> = 0.020), volar\/dorsal comminution (<jats:italic>P<\/jats:italic> = 0.020), ulnar variance &gt;5 mm (<jats:italic>P<\/jats:italic> = 0.023), intra\u2010articular displacement\/step\u2010off &gt;2 mm (<jats:italic>P<\/jats:italic> = 0.004), associated distal radioulnar joint instability or radiocarpal joint dislocation (<jats:italic>P<\/jats:italic> = 0.047) and treatment by an upper extremity specialist (<jats:italic>P<\/jats:italic> = 0.038).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The decision for surgery was predominantly influenced by the characteristics and severity of the fracture. Patients' age and treatment by an upper extremity specialist were also significant factors associated with a higher likelihood of operative intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15395","type":"journal-article","created":{"date-parts":[[2019,9,3]],"date-time":"2019-09-03T23:16:19Z","timestamp":1567552579000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Factors associated with the decision for operative versus conservative treatment of displaced distal radius fractures in the elderly"],"prefix":"10.1111","volume":"89","author":[{"given":"Yao\u2010Sen","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"},{"name":"Zhejiang Provincial Key Laboratory of Orthopaedics  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third People's Hospital  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin\u2010Zhen","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"},{"name":"Zhejiang Provincial Key Laboratory of Orthopaedics  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia\u2010Yu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"},{"name":"Zhejiang Provincial Key Laboratory of Orthopaedics  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xian\u2010Bin","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"},{"name":"Zhejiang Provincial Key Laboratory of Orthopaedics  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"},{"name":"Zhejiang Provincial Key Laboratory of Orthopaedics  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"},{"name":"Zhejiang Provincial Key Laboratory of Orthopaedics  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8279-9706","authenticated-orcid":false,"given":"Liao\u2010Jun","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University  Wenzhou China"},{"name":"Zhejiang Provincial Key Laboratory of Orthopaedics  Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2014.11.010"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2017.12.001"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-22-09-566"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00968"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.04.018"},{"key":"e_1_2_8_7_1","first-page":"407","article-title":"Is locking plate fixation a better option than casting for distal radius fracture in elderly people?","volume":"21","author":"Hung LP","year":"2015","journal-title":"Hong Kong Med. 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