title: Intramedullary bone cementing for the treatment of Colles fracture in elderly patients.
abstract: Eighteen patients with Colles fractures, mean age 70 years (range 55-91), were treated by intramedullary bone cementing. The best indication for this technique was an unstable extra-articular Colles fracture with osteoporosis. Bone cement was packed into the canal that was made by curettage of intramedullary cancellous bone from the dorsal fracture site. Intramedullary cementing caused little bleeding from the medullary canal and no irritation of the extensor tendons. Because of rigid fixation, patients could use the affected hand for light activities without any external orthosis the day after surgery. Cortical healing was seen in all cases within three months and there was no cement loosening or other complications during the mean 28 month (range 6-43) follow up period. Intramedullary bone cementing is one of the optimal treatments for Colles fractures in elderly patients.
authors.affiliation: Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, Kanazawa, Japan. ikeike@med.kanazawa-u.ac.jp
authors.forename: Kazuo
authors.initials: K
authors.lastname: Ikeda
authors.forename: Naoki
authors.initials: N
authors.lastname: Osamura
authors.forename: Norio
authors.initials: N
authors.lastname: Hagiwara
authors.forename: Daisuke
authors.initials: D
authors.lastname: Yamauchi
authors.forename: Katsuro
authors.initials: K
authors.lastname: Tomita
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002484:Cementation; D003100:Colles' Fracture / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography