Colles' fracture: management by percutaneous crossed-pin fixation versus plaster of Paris cast immobilization.
Colles' fracture is the most common fracture seen in orthopedic practice, but no consensus has been reached on an effective method to maintain the initial reduction achieved. This prospective, randomized study of 50 patients evaluates the efficacy of maintaining reduction and consequent functional end results of two treatment methods, ie, percutaneous crossed-pin fixation followed by plaster of Paris cast immobilization with the wrist in functional position versus conventional plaster of Paris cast immobilization. The anatomical and functional end results were significantly better with percutaneous crossed-pin fixation at final follow-up.
Department of Orthopedics, Pt. B.D.S. Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
R
R
Gupta
A
A
Raheja
U
U
Modi
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D002370:Casts, Surgical; D003100:Colles' Fracture / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D007103:Immobilization; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000503:physiopathology