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Invited Commentary
January 13, 2021

A Prospective Randomized Study With No Clinically Important Differences in Closed vs Open Treatment for Distal Radius Fracture in Elderly Individuals

Author Affiliations
  • 1Division of Plastic Surgery/Hand Surgery, University of North Carolina, Chapel Hill
JAMA Surg. Published online January 13, 2021. doi:10.1001/jamasurg.2020.5673

The goal of any fracture treatment is restoration of preinjury function with as little morbidity as possible. Most minimally displaced or nondisplaced fractures can be treated nonoperatively. Fractures with significant displacement or a high likelihood of nonunion should be treated operatively. Historically, distal radius fractures were treated with cast immobilization, and surgical options have included K-wire fixation, external fixation, or dorsal plating. The volar locking plate became available in the late 1990s. Since then, there has been a progressive increase in operative treatment, both in the US and worldwide,1,2 and patients with distal radius fracture evaluated by fellowship-trained hand surgeons were more likely to undergo surgery.3

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