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Given the heterogeneity of the aging population, a universal approach to treatment selection may not be feasible. This educational article aims to discuss the advantages and disadvantages of non-surgical vs surgical management, radiological assessment, complication risks, and osteoporosis screening. Moreover, we suggest surgical technical tips, a treatment algorithm, and a decision-making strategy that considers both functional demands and individual needs.<\/jats:p>","DOI":"10.2340\/17453674.2026.45945","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T13:42:14Z","timestamp":1782135734000},"source":"Crossref","is-referenced-by-count":1,"title":["An Acta Orthopaedica educational article: Choosing treatment with an elderly patient having a distal radius fracture"],"prefix":"10.2340","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6513-0100","authenticated-orcid":false,"given":"Marcus","family":"Landgren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3312-9375","authenticated-orcid":false,"given":"Cecilia Mellstrand","family":"Navarro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5650-895X","authenticated-orcid":false,"given":"Teemu","family":"Karjalainen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikke","family":"Thorninger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sondre","family":"Hassellund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasmus Wejnold","family":"Troest","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeppe Vejlgaard","family":"Rasmussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hebe D\u00e9sir\u00e9e","family":"Kvernmo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7439-5485","authenticated-orcid":false,"given":"Dennis Winge","family":"Hallager","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Rozental","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"T\u00e4gil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"159262","doi-asserted-by":"crossref","unstructured":"Rundgren J, Bojan A, Mellstrand Navarro C, Enocson A. 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