Older type IV colles fractures treated with intramedullary insertion of a Rush pin.
Forty-four patients with 46 Older type IV Colles fractures, who had been treated with intramedullary insertion of a Rush pin were examined after a mean period of 16 months. At follow-up 28 (64%) of the patients had little or no pain, and four (9%) had pain almost all the time. Compared with the opposite side the median grip strength was 76%, flexion/extension was 81%, supination/pronation was 88%, and ulnar/radial movement was 73%. Three patients developed complications. The anatomical result was good or acceptable in 41 patients (93%) and poor in three (7%). According to Lucas and Sachtjen's modification of the Samiento scoring system the final results were excellent or good in 38 (86%) of the patients and fair in 5 (11%); in only one case was the result poor. The results are comparable with other methods of operative fixation. The procedure is relatively simple, and the complication rate is low.
Department of Orthopaedic Surgery, University Hospital of Aarhus, Denmark.
H
H
Moustgaard Knudsen
B E
BE
Lindblad
S
S
Søndergaard Mikkelsen
D000368:Aged; D001858:Bone Nails; D003100:Colles' Fracture / Q000145:classification / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008297:Male; D013997:Time Factors