Comparing treatments

  Cast Surgery
What are the results for people below 65?

It’s unknown if there’s a difference in symptoms, limitations, and adverse events between people treated with a cast or with surgery.

What are the results for people 65 and above?

After six months there seems to be no difference in symptoms or limitations between people treated with a cast or with surgery. 


What does it mean?

You wear a cast for 6 weeks.

Metal devices are used to keep the fracture from moving while it heals.

What is the advantage?

No surgery.

You can use a removable splint rather than a cast and move your wrist a few weeks earlier.2,3 The fracture is less likely to heal in a bent or shortened position.

What is the disadvantage?

You can’t bend your wrist for 6 weeks.

You wear a bag over the cast to shower.

A cast can be a bit cumbersome.

The risks, discomforts, and inconveniences of surgery.

The scar.

You might need a second surgery to remove the metal implants.


What are the risks?

Healing with a bend or shortening. Your doctor can help you calculate the chance of this happening.4

You might choose surgery if this happens.

Of the 100 people having surgery, 9 get a minor problems.1 Minor problems include: superficial infection or hematoma.

Also 8 out of a 100 people get a major problem—something that is treated with more surgery.1 (e.g. loosening of the plate, deep infection, or a ruptured tendon).