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For fractures classified as Arbeitsgemeinschaft f\u00fcr Osteosynthese (AO) 23-C1\u2009+\u2009C2, there is no consensus on treatment in older patients due to inconsistent study results. The aim of this study was to compare conservative and surgical treatment in relation to wrist function and satisfaction in patients older than 65\u00a0years.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this prospective randomized clinical trial, patients aged older than 65\u00a0years who suffered an isolated AO-classified C1 or C2 distal radius fracture were randomized to surgical treatment using palmar plate osteosynthesis or conservative treatment. Patient-rated wrist evaluation (PRWE) score and disabilities of arm, shoulder, and hand (DASH) was assessed 3, 6 and 12\u00a0months post-interventionally. Satisfaction, range of motion (ROM) and pain scores were evaluated at 6\u00a0weeks and 3, 6 and 12\u00a0months post-interventionally.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 80 patients with a mean age of 77.3\u00a0years (\u00b1\u20096.1\u00a0years) in the conservative group and 72.5\u00a0years (\u00b1\u20095.3\u00a0years) in the surgery group were included. Both the PRWE score, and the DASH score showed a statistically significant difference between the two groups after 3\u00a0months, 6\u00a0months and 12\u00a0months (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Patients in the surgical cohort showed a statistically significant higher satisfaction at the 6-week, 6-month and 12-month follow-up (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001 6 weeks\u2009+\u200912\u00a0months; <jats:italic>p<\/jats:italic>\u2009=\u20090.004 6\u00a0months).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In this prospective randomized study, surgical treatment proved to be superior to conservative treatment in terms of the primary outcome variable PRWE score. Satisfaction was significantly better in the surgical group.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s10195-024-00788-w","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T18:01:41Z","timestamp":1727805701000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Comparison of surgical and conservative therapy in older patients with distal radius fracture: a prospective randomized clinic al trial"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8207-9757","authenticated-orcid":false,"given":"David J.","family":"Haslhofer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan M.","family":"Froschauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Gotterbarm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manfred","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oskar","family":"Kwasny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Holzbauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"issue":"6","key":"788_CR1","doi-asserted-by":"publisher","first-page":"781","DOI":"10.1007\/s00198-007-0499-5","volume":"19","author":"CM Lofthus","year":"2008","unstructured":"Lofthus CM, Frihagen F, Meyer HE, Nordsletten L, Melhuus K, Falch JA (2008) Epidemiology of distal forearm fractures in Oslo, Norway. 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