$colles fracture cast position$

$colles fracture cast position$

Initial anteroposterior and lateral radiographs of both the injured and uninjured side were taken.

$colles fracture cast position$

Patients with open fractures, additional major fractures in the ipsilateral upper limb, associated neuro-vascular deficit and with bilateral Colles’ fractures were excluded from the study. Patients with fused epiphysis, sustaining distal radius fracture were included in the study. A complete clinicoradiological assessment was performed at each visit. The patients were followed up at 3 weeks, 6 weeks, 3 months and 9 months. All patients with Colles’ fracture between June 2004 and June 2005 were studied. The study was conducted at the Department of Orthopaedics, Christian Medical College & Hospital, Ludhiana, Punjab. This prompted us to undertake a comparative study to determine the functional outcome with clinico-radiological analysis of patients with Colles’ fractures treated with closed reduction and cast alone versus closed reduction, Kirschner wire fixation and cast. Various studies6,7,8 with short-term and long-term results of treatment of Colles’ fracture have correlated deformities with loss of function. However this concept has been challenged and the restoration of normal anatomy is now considered essential for normal function2. Some authors believed that no special treatment was needed as the resulting deformity barely resulted in loss of function5. Various K-wire fixation techniques have been described but Azzopardi et al state that biomechanically a crossed K–wire construct provides the greatest stability and supplementary K-wires do not provide a better clinical outcome4. However, closed reduction and immobilization in a plaster cast remains the accepted method of treatment for 75% to 80% of fractures of the distal radius1. The concept of ligamentotaxis to reduce the fracture with the help of external fixation was introduced by Vaughan in 19853. The treatment modalities for this fracture have also evolved over time as understanding of this injury has changed1.

$colles fracture cast position$

Middle aged or elderly women often sustain this fracture following low velocity trauma while in the young it is caused by high velocity trauma2. With the passage of time, the epidemiological pattern of fractures has evolved from a non-comminuted extra-articular fracture as classically described by Colles to a comminuted articular fracture associated with high velocity trauma. At the last follow up, no significant difference in the functional outcome was obtained with closed reduction and cast versus closed reduction, K-wire fixation and cast Introductionįractures near the wrist joint due to fall on the out stretched hand constitute one of the largest of all groups of bone injuries and are estimated to account for one-sixth of all fractures seen and treated in the emergency room1. Various studies with short-term and long-term results of treatment of Colles’ fracture have correlated deformities with loss of function. There are many classifications and varied treatment options, with variable results. Colles’ fracture is the most common of the distal radial fractures.

$colles fracture cast position$

Colles fracture cast position