LAUSR

Key Points Question Is recovery after distal radius fracture managed with casting vs surgery different in patients stratified by physiologic vs chronologic age? Findings This secondary analysis of the Wrist and Radius Injury Surgical Trial demonstrated that older adults with high preinjury activity levels and few comorbidities had clinically significant improvement in short-term patient-reported outcomes after surgical treatment of distal radius fractures. Meaning These findings suggest that surgeons should place emphasis on a patient’s baseline activity level and number of comorbidities to guide operative treatment decisions of distal radius fractures in older adults, even if these individuals have an advanced chronologic age.