Closed Unassisted Reduction in Emergency: A Technique for Unassisted Closed Reduction of Colles Fractures Without Equipment

Vampertzis, Themistoklis; Barmpagianni, Christina; Iosifidou, Eirini; Papastergiou, Stergios

doi:10.1016/j.jemermed.2019.10.027

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…In the process of conservative treatment of the Colles fracture, external fixation is an important link, and whether the external fixation method is simple and effective is crucial [ 11 , 12 ]. The traditional bamboo curtain splint, composed of four splints, two pressure pads, and four cotton tapes, is an important treatment method for the Colles fracture because it is more portable, continuously adjustable, easy to disassemble, highly permeable, and X-ray transmittable than gypsum [ 13 ]. The pressure pads and bamboo splints not only do not irritate the skin but also have ductility and elasticity to maintain a certain support form.…”

Section: Discussionmentioning

confidence: 99%

Improvement, Validation, and Analysis of Colles Fracture Treated with an Integrated Retainer Pad Splint

Meng

Zhang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To observe the effectiveness and safety of the Colles fracture treated with the integrated retainer pad splint and to compare the clinical and radiological outcomes of the integrated retainer pad splint and the traditional bamboo curtain splint in the treatment of the Colles fracture. Methods. A total of 100 patients with Colles fractures were randomly divided into two groups: the treatment group was fixed with the integrated retainer pad splint (IS), and the control group was fixed with the traditional bamboo curtain splint (TS).The range of wrist motion was measured at follow-up examinations, and volar inclination, ulnar deviation, and radial height were measured on radiographs. Regular follow-up wrist imaging examinations and functional examinations were performed before reduction, after reduction, and at the 1st, 3rd, 5th, and 8th weeks. The two groups were compared in terms of convenience, fracture healing time, X-ray data of volar inclination, ulnar deviation, radial height, and wrist joint function. The relevant data were analyzed with SPSS 25.0 statistical software. Results. There were no notable differences in gender, age, and injured side between IS and TS groups. In terms of operation time, IS was better than the TS group ( P < 0.05 ), and the operation time in the IS group was shorter. On the basis of X-ray data of volar inclination, ulnar deviation, and radial height measured on radiographs, the difference between the IS and TS groups was statistically significant ( P < 0.05 ), which showed that the IS group was more stable in fracture fixation and had less reduction loss during the treatment process. At the 8th week of treatment, the wrist Gartland–Werley score of the two groups showed that the two fixation methods are equivalent in restoring wrist joint function ( P > 0.05 ); however, in terms of the excellent and good rate of wrist joint function, the IS group scored 96% was higher than the TS group (80%). Conclusion. Compared with the traditional bamboo curtain splint, the integrated retainer pad splint is more convenient and stable, and it has less reduction loss during the treatment. Repair of the Colles fracture using the integrated retainer pad splint with external fixation results in nearly normal return of function, which is significantly better than using the traditional bamboo curtain splint.

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Section: Discussionmentioning

confidence: 99%

Improvement, Validation, and Analysis of Colles Fracture Treated with an Integrated Retainer Pad Splint

Meng

Zhang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…The closed reduction does not involve invasive surgery, so it serves as a simple, efficient procedure that can be successful for less serious fractures. It involves injecting a needle into the hematoma, aspirating the blood, injecting a local anesthetic such as lidocaine into the hematoma, applying traction to loosen the muscles, and then manually pushing the distal radius back into alignment with the proximal radius segment [13]. This could be done with the assistance of a fluoroscope to periodically assess bone positioning.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of DASH Scores Resulting from Different Treatment Options for the Intra-articular Distal Radius Fracture in the Geriatric Population

Wagh¹,

Reddy²

2021

Appl Cell Biol

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There exist three main methods of treating distal radius fractures: closed reduction, open reduction internal fixation, and percutaneous fixation. 10 studies in the geriatric population comparing closed reduction and ORIF, and ORIF and methods of percutaneous treatment were found. DASH and PRWE scores from these studies at 1 year followup were compiled and means were compared via independent T tests. DASH scores in the ORIF and percutaneous treatment groups were better than the open reduction, although ORIF and percutaneous treatment groups were not significantly different. PRWE score analysis revealed a significant advantage of ORIF compared to percutaneous treatment, and percutaneous treatment over closed reduction and casting.

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Closed Unassisted Reduction in Emergency: A Technique for Unassisted Closed Reduction of Colles Fractures Without Equipment

Cited by 2 publications

References 12 publications

Improvement, Validation, and Analysis of Colles Fracture Treated with an Integrated Retainer Pad Splint

Improvement, Validation, and Analysis of Colles Fracture Treated with an Integrated Retainer Pad Splint

A Comparison of DASH Scores Resulting from Different Treatment Options for the Intra-articular Distal Radius Fracture in the Geriatric Population

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