Older Type Iv Colles Fractures Treated with Intramedullary Insertion of a Rush Pin

Knudsen, Harald; Lindblad, Bent Erling; Mikkelsen, Sigurd

doi:10.3109/02844319309080294

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…From other studies it is shown that reduced and plaster cast treated patients with a distal radial fracture gain excellent to good results between 75 and 84% after a year despite the end anatomical results [8,12,17,22]. In general, the risks of a poor result correlate with the ini- tial comminution and joint involvement [8,19].…”

Section: Discussionmentioning

confidence: 99%

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Occupational therapy and Colles' fractures

Christensen

Hansen

et al. 2000

International Orthopaedics (SICOT)

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In this randomized trial, we enrolled 30 patients treated for a distal radius Colles' type fracture. The fractures were reduced if necessary and fixed in a belowelbow plaster cast for 5 weeks. One group consisting of 14 patients received instructions for shoulder; elbow and finger exercise and the other group consisting of 16 patients had occupational therapy. At 5 weeks, 3 and 9 months we measured the functional scores. There were no statistically significant differences between the groups at any time. It seems that for non-surgically treated patients with a distal radius fracture only instructions are necessary. Résumé Etude randomisée de 30 patients traités d'une fracture distale du radius de type Pouteaux-Colles. Les fractures furent réduites si nécessaire et fixées dans une manchette plâtrée durant 5 semaines. L'un des groupes était constitué de 14 patients qui avaient reçu des instructions d'exercices pour l'épaule, le coude et les doigts. L'autre groupe était constitué de 16 patients qui ont bé-néficié d'une ergothérapie. Une évaluation a été faite après 5 semaines, 3 et 9 mois. Il n'avait aucune différen-ce significative entre les 2 groupes en aucune période. Il semble ainsi suffisant, dans les fractures distales du radius traitées orthopédiquement, d'instruire les patients en vue d'une autoréeducation.

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Section: Discussionmentioning

confidence: 99%

“…The short-and long-term functional results are reported to be satisfactory despite the anatomic end result [8,12,17,22]. Some studies have claimed that early mobilization of the wrist during the bandage period offers a better functional result [3,4,11].…”

Section: Introductionmentioning

confidence: 96%

Occupational therapy and Colles' fractures

Christensen

Hansen

et al. 2000

International Orthopaedics (SICOT)

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“…Reduction and plaster cast fixation [3,5,10,14,16,17,27], pins and plaster casts [11,14,19,25], open reduction and fixation with or without bone grafting [4,6,12,14], Rush pins [9,18], dynamic external fixation [2,15,24], bridging external fixation [1,6,11,20,23] and nonbridging external fixation [7,8,13]. In most studies, the external fixator has been found to be superior to plaster cast fixation in achieving a good end-anatomic result [1,6,7,8,23].…”

Section: Introductionmentioning

confidence: 99%

Plaster cast compared with bridging external fixation for distal radius fractures of the Colles' type

Christensen

Christiansen

Krasheninnikoff

et al. 2001

International Orthopaedics

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We compared two different treatments for displaced distal radius Colles' type fractures (Older type 3 and 4), at two hospitals. We found bridging external fixation superior to reduction and fixation in a dorsal plaster cast regarding both the end-anatomic results at 3 months and the functional scores at 3 and 9 months (modified Gartland and Werley).Résumé Nous avons effectué dans 2 hôpitaux, une analyse contrôlée de 2 traitements différents des fractures comminutives du radius distal (Older type 3 et 4). Nous avons trouvé une supériorité du pontage par fixateur externe sur l'immobilisation par plâtre tant pour le résultat anatomique à 3 mois que pour le résultat fonctionnel après 3 et 9 mois ( score de Gartland et Werley).

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“…Eighty-six consecutive patients who presented with a Colles' fracture-Older type IV (Table I) (6,11,16) to the department of orthopaedic surgery at the University Hospital, Aarhus, Denmark, were treated with either two Kirschner (K) wires or a Rush nail. Most patients who were operated on with K-wires were treated at the beginning of the study.…”

Section: Methodsmentioning

confidence: 99%

“…In this consecutive study we have compared intramedullary fixation with a Rush nail and percutaneous fixation of Colles' fractures-Older type IV (6,11,16).…”

mentioning

confidence: 99%

Comparison of Intramedullary Fixation and Percutaneous Pinning of Displaced and Comminuted Colles' Fractures: A Prospective and Consecutive Study

Hede

2000

Scandinavian Journal of Plastic and Reconstructive Surgery and

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This consecutive study comprised 86 patients who were available for follow up 5-51 months after sustaining a Colles' fracture--Older type IV. A total of 42 patients were treated with Kirschner (K) wires of whom one had bilateral fracture. Forty-four patients (of whom two had bilateral fractures) were treated with Rush nails. A functional assessment of the patients was made using both a questionnaire and a clinical examination. The end-results of residual deformity, subjective and objective findings, and complications were evaluated according to the Lucas' modification of the Sarmiento demerit point-rating system. At follow-up, the ulnar/radial deviation was significantly better in the patients operated on with K-wires (37 degrees compared with 27 degrees, p < 0.02, range in both groups 0-80 degrees), but no differences were found in the other directions of movement. A total of three patients (7%) developed complications. The final result showed that 40 (93%) of the fractures treated with K-wires were excellent or good compared with 38 (86%) of those operated on with a Rush nail. One fracture in each group (2%) had a poor outcome. Comparison of the final results showed no significant difference between the two groups.

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Older Type Iv Colles Fractures Treated with Intramedullary Insertion of a Rush Pin

Cited by 5 publications

References 6 publications

Occupational therapy and Colles' fractures

Occupational therapy and Colles' fractures

Plaster cast compared with bridging external fixation for distal radius fractures of the Colles' type

Comparison of Intramedullary Fixation and Percutaneous Pinning of Displaced and Comminuted Colles' Fractures: A Prospective and Consecutive Study

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