4.4 Article

The past, present and future of the conservative treatment of distal radius fractures

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ELSEVIER SCI LTD
DOI: 10.1016/j.injury.2023.110930

Keywords

Radius fractures; Trauma; Conservative treatment; Casts; Nonsurgical; Printing; Three-dimensional

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Distal radius fracture is a common fracture that is usually treated with three to six weeks of plaster immobilization. Studies have shown that one week of immobilization is safe for non- or minimally displaced fractures. A shorter period of immobilization may lead to better functional recovery and faster return to daily activities.
The distal radius fracture is a common fracture with a prevalence of 17% on the emergency departments. The conservative treatment of distal radius fractures usually consists of three to six weeks of plaster immobilization. Several studies show that one week of plaster immobilization is safe for non- or minimally displaced distal radius fractures that do not need reduction. A shorter period of immobilization may lead to a better functional outcome, faster reintegration and participation in daily activities. Due to upcoming innovations such as three-dimensional printed splints for distal radius fractures, a patient specific splint can be produced which may offer more comfort. Furthermore, these three-dimensional printed splints are expected to be more environmental friendly in comparison with traditional plaster casts.

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