{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:28:19Z","timestamp":1781519299795,"version":"3.54.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: This study was designed to evaluate anatomical and functional results of non-surgical treatment for unstable distal radius fractures in the elderly.\\r\\nMethods: Twenty-nine patients (7 males, 22 females; mean age 72\u00b12 years) aged ?65 years were treated with closed reduction and short-arm circular casting for unstable distal radius fractures. According to the AO classification, all patients had type C fractures. Anatomical and functional results were assessed using the Stewart criteria and Q-DASH (Quick-Disability of Arm, Shoulder and Hand) questionnaire, respectively. Bone mineral density measurements were performed. Grip strength and wrist range of motion were measured in comparison to the unaffected side. The mean follow-up was eight months (range 6 to 12 months).\\r\\nResults: Union was achieved in all fractures within a mean of 4\u00b11 weeks. Bone mineral density measurements showed osteoporosis in 22 patients (75.9%), and 26 patients (89.7%) had regional osteoporosis in cortical width measurements. After treatment, radiographic measurements showed the following: radius tilt angle +5.6\u00b15.4\u00b0, inclination angle 17\u00b14.6\u00b0, radial height 9\u00b12.3 mm, and positive ulnar variance 2.8\u00b12 mm. Five patients (17.2%) exhibited an articular step-off of less than 1 mm on the radial surface. According to the Stewart criteria, the results were good in 15 patients (51.7%), moderate in 12 patients (41.4%), and poor in two patients (6.9%). The mean Q-DASH score was 38\u00b119.2 at three months, and 23\u00b12.4 at final follow-up. Grip strength, extension\/flexion, and pronation\/supination were measured as 57.3\u00b112.5%, 52\u00b114%, and 75\u00b116% of the unaffected side, respectively. Complications were seen in 11 patients (37.9%). Three patients (10.3%) developed malunion which required corrective osteotomy. \\r\\nConclusion: Unstable distal radius fractures can be treated with closed reduction and cast application in low-demand elderly patients to avoid risks and complications of surgery.\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fmada ya\u015fl\u0131 hastalarda cerrahi d\u0131\u015f\u0131 y\u00f6ntemlerle tedavi edilen instabil radius alt u\u00e7 k\u0131r\u0131klar\u0131n\u0131n anatomik ve fonksiyonel sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Altm\u0131\u015f be\u015f ya\u015f\u0131n \u00fczerinde 29 hasta (7 erkek, 22 kad\u0131n; ort. ya\u015f 72\u00b17) instabil radius alt u\u00e7 k\u0131r\u0131\u011f\u0131 nedeniyle kapal\u0131 yerle\u015ftirme ve k\u0131sa kol sirk\u00fcler al\u00e7\u0131 uygulamas\u0131 ile tedavi edildi. AO s\u0131n\u0131fland\u0131rmas\u0131na g\u00f6re k\u0131r\u0131klar\u0131n t\u00fcm\u00fc tip C idi. Anatomik sonu\u00e7lar Stewart radyografik \u00f6l\u00e7\u00fctlerine g\u00f6re de\u011ferlendirildi. \u0130\u015flevsel de\u011ferlendirme Q-DASH (Quick-Disability of Arm, Shoulder and Hand) sorgulamas\u0131 ile yap\u0131ld\u0131. Hastalar\u0131n kemik mineral yo\u011funluklar\u0131 ve sa\u011flam tarafla kar\u015f\u0131la\u015ft\u0131rmal\u0131 olarak kavrama g\u00fc\u00e7leri ve el bile\u011finin eklem hareketleri \u00f6l\u00e7\u00fcld\u00fc. Ortalama takip s\u00fcresi sekiz ay (da\u011f\u0131l\u0131m 6-12 ay) idi.\\r\\nSonu\u00e7lar: K\u0131r\u0131klar\u0131n t\u00fcm\u00fc ortalama 4\u00b11 hafta i\u00e7inde kaynad\u0131. Yirmi iki hastan\u0131n (%75.9) kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcmlerinde osteoporoz saptand\u0131. Kemik morfolojik indeksi \u00f6l\u00e7\u00fcm\u00fcnde ise 26 hastada (%89.7) b\u00f6lgesel osteoporoz bulundu. Tedavi sonras\u0131nda radius tilt a\u00e7\u0131s\u0131 +5.6\u00b15.4\u00b0, inklinasyon a\u00e7\u0131s\u0131 17\u00b14.6\u00b0, radius y\u00fcksekli\u011fi 9\u00b12.3 mm, ulnar varyans pozitifli\u011fi ise 2.8\u00b12 mm \u00f6l\u00e7\u00fcld\u00fc. Be\u015f hastada (%17.2) radius eklem y\u00fcz\u00fcnde 1 mm\u2019yi ge\u00e7meyen basamaklanma saptand\u0131. Stewart de\u011ferlendirme \u00f6l\u00e7\u00fctlerine g\u00f6re, 15 hastada (%51.7) iyi, 12 hastada (%41.4) orta, iki hastada (%6.9) ise k\u00f6t\u00fc sonu\u00e7 al\u0131nd\u0131. Q-DASH puan\u0131 \u00fc\u00e7\u00fcnc\u00fc ayda 38\u00b119.2, son kontrolde ise 23\u00b12.4 bulundu. K\u0131r\u0131k taraf el bile\u011finin kavrama kuvveti sa\u011flam taraf\u0131n %57.3\u00b112.5\u2019ine, ekstansiyon\/fleksiyon hareket a\u00e7\u0131kl\u0131\u011f\u0131 sa\u011flam taraf\u0131n %52\u00b114\u2019\u00fcne, pronasyon\/supinasyon hareket a\u00e7\u0131kl\u0131\u011f\u0131 ise %75\u00b116\u2019\u00fcne geriledi. On bir hastada (%37.9) komplikasyon g\u00f6r\u00fcld\u00fc. \u00dc\u00e7 hastada (%10.3) k\u00f6t\u00fc kaynama geli\u015fti ve d\u00fczeltici osteotomi ile tedavi edildi. \\r\\n\u00c7\u0131kar\u0131mlar: Ya\u015fl\u0131 hastalar\u0131n cerrahi riskleri ve s\u0131n\u0131rl\u0131 tedavi beklentileri g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, instabil radius alt u\u00e7 k\u0131r\u0131klar\u0131 kapal\u0131 yerle\u015ftirme ve k\u0131sa kol al\u00e7\u0131 ile tedavi edilebilir.<\/jats:p>","DOI":"10.3944\/aott.2009.229","type":"journal-article","created":{"date-parts":[[2009,8,16]],"date-time":"2009-08-16T08:10:56Z","timestamp":1250410256000},"page":"229-234","source":"Crossref","is-referenced-by-count":13,"title":["The results of nonsurgical treatment for unstable distal radius fractures in elderly patients"],"prefix":"10.5152","volume":"43","author":[{"given":"Ayhan","family":"Kilic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ufuk","family":"Ozkaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yavuz","family":"Kabukcuoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami","family":"Sokucu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seckin","family":"Basilgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2270\/2227","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:43Z","timestamp":1763463463000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2009,1,3]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.229","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}