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Febyan
Department of Orthopaedic and Traumatology, Faculty of Medicine, Udayana University, Bali, Indonesia

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Conservative Treatment of Closed Fracture Distal Radius in Elderly at Buleleng General Hospital in January – December 2024 Ekanova Dharmapala; Febyan; Benedictus Anindita Satmoko
Ganesha Medicina Vol. 6 No. 1 (2026)
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/gm.v6i1.107044

Abstract

Distal radius fractures are the most common upper extremity fractures, especially in children, young adults, and the elderly, accounting for about 17.5% of all fractures worldwide. They are mainly caused by traffic accidents and low-energy trauma in older adults and are treated either conservatively with casting or operatively. This descriptive cross-sectional study used secondary medical records of distal radius fracture patients treated at Buleleng Regional General Hospital, Bali, from January to December 2024. A total of 85 patients met the inclusion and exclusion criteria, and data were collected from medical records and analyzed using Microsoft Excel and SPSS with descriptive statistics. In this study, most patients were aged 10–19 years (21.2%) and male (51.8%). Closed fractures predominated (75 patients; 88.2%), most of which were treated non-operatively (62 patients; 82.6%), whereas all open fractures (10 patients; 100%) were managed operatively. Additionally, 59 patients (69.4%) had no concurrent diseases or complaints. Distal radius fractures in this study were most common in adolescents, and these patterns align with previous reports linking adolescent and male predominance to high-risk activities and low-energy falls in older adults. However, the retrospective, single-center, cross-sectional design using secondary medical record data and descriptive analysis limits causal inference and generalizability. Overall, distal radius fractures in this study commonly affected male adolescents aged 10–19 years, were predominantly closed injuries, and were mainly managed non-operatively, with most patients having no comorbidities and DRUJ dislocation as the most frequent associated condition.