Inclusion criteria | Patient age ≥ 75 years (≥70 years after September 2015 at SH) |
Fracture diagnosed no more than 3 days from injury at SH or 6 days at DH | |
Resident of the catchment area of either study site | |
Wrist radiograph of ≥20°dorsal tilt from plane perpendicular to the length axis of the radius (or ≥ 4 mm ulnar variance at DH) | |
Exclusion criteria | Associated ulna fracture |
Intraarticular displacement exceeding 1 mm step-off or 1 mm gap (SH) | |
Injury to the ipsilateral upper extremity | |
High energy trauma (SH) | |
Former disability at either wrist | |
Rheumatoid arthritis or severe joint disorders | |
Dementia or Pfeffer score < 5 at SH or < 8 at DH | |
Substance abuse or psychiatric disorder | |
Dependency in activities of daily living | |
Not fit for surgery or American Society of Anesthesiology class ≥4 |