Abordaje de la fractura de colles un presagio en adultos mayores

Abstract

Introduction: Colles’ fracture is the second most frequent fracture due to high and low energy mechanisms, in older adults it is due to mechanical forces that would not usually cause a fracture due to decreased bone density "fragility fracture". It is important to emphasize the prevention of future osteoporotic fractures in this age group in order to maintain functional independence. Objective: Determine the best strategy in the management of Colles’ fracture in older adults by reviewing scientific articles published in the last 5 years. Methodology: An electronic search was carried out through the Unesco Thesaurus in the MESH search engine and PubMed, Medline, Uptodate, Central, Embase and Web of Science databases. Eligibility criteria: topic related to the research to be performed, year of publication maximum 5 years and quartile 1,2 and 3. For the writing of this review article an individual and collective critical and interpretative analysis was performed. Conclusions: Although the approach modalities in a Colles’ Fracture have advanced significantly, there is no consensus as to which would be the best strategy to employ and this is due to the complexity of the fracture versus bone mineral density. Nevertheless, the treatment approach should not only be aimed at healing, but also at preventing future fragility fractures.