Displaced Distal Radius Fractures. A Comparative Study of Early Results Following External Fixation, Functional Bracing in Supination, or Dorsal Plaster Immobilization

Overview

Journal Arch Orthop Trauma Surg

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 1990 Jan 1

PMID 2344265

Citations 4

Authors

S Solgaard

C Bunger

K Sllund

Affiliations

Soon will be listed here.

Abstract

A comparison of the radiographical and functional results after displaced distal radius fractures in 41 patients treated by external fixation (EF), 36 patients treated by functional bracing in supination (FUSU), and 49 patients treated by dorsal plaster immobilization (DPI) was performed. The rate of initial complications after EF was 53%, compared with 22% after FUSU and 14% after DPI. The radiographical result after EF was significantly better than after nonoperative treatment, but the functional result after 3 and 6 months demonstrated no significant difference between the three series. Consequently, EF and FUSU do not restore wrist function faster than conventional plaster treatment (DPI), but EF improves the radiographical result, though the rate of complications is higher.

Citing Articles

Functional bracing in distal radius fractures: a cadaveric pilot study.

van Buijtenen J, van Delft E, Rijsdijk M, Dobbe J, van der Veen A, Streekstra G Orthop Rev (Pavia). 2022; 14(4):36574.

PMID: 35782198 PMC: 9246090. DOI: 10.52965/001c.36574.

The Effect Immobilization Mechanisms Have on Radiographic Outcomes and Complication Rates in the Conservative Treatment of Distal Radius Fractures: A Systematic Review.

Jamnik A, Chacon J, Xiao A, Wagner E, Gottschalk M Hand (N Y). 2022; 17(1_suppl):118S-128S.

PMID: 35373590 PMC: 9793616. DOI: 10.1177/15589447221081864.

The Cost-Effectiveness of Surgical Fixation of Distal Radial Fractures: A Computer Model-Based Evaluation of Three Operative Modalities.

Rajan P, Qudsi R, Dyer G, Losina E J Bone Joint Surg Am. 2018; 100(3):e13.

PMID: 29406347 PMC: 6819022. DOI: 10.2106/JBJS.17.00181.

Determinants of distal radius fracture management in polytrauma patients.

Adkinson J, Soltys A, Miller N, Eid S, Murphy Jr R Hand (N Y). 2014; 8(4):382-6.

PMID: 24426953 PMC: 3840753. DOI: 10.1007/s11552-013-9536-3.

References

GARTLAND Jr J, WERLEY C . Evaluation of healed Colles' fractures. J Bone Joint Surg Am. 1951; 33-A(4):895-907. View

OLDER T, STABLER E, CASSEBAUM W . COLLES FRACTURE: EVALUATION AND SELECTION OF THERAPY. J Trauma. 1965; 5:469-76. View

Solund K, Rasmussen P, Borg L, Bunger C . [Radiological, functional and social healing after Colles' fracture. A prospective study]. Ugeskr Laeger. 1983; 145(30):2289-92. View

Green D . Pins and plaster treatment of comminuted fractures of the distal end of the radius. J Bone Joint Surg Am. 1975; 57(3):304-10. View

Cooney W . External fixation of distal radial fractures. Clin Orthop Relat Res. 1983; (180):44-9. View

Foster D, Kopta J . Update on external fixators in the treatment of wrist fractures. Clin Orthop Relat Res. 1986; (204):177-83. View

Bunger C, Solund K, Rasmussen P . Early results after Colles' fracture: functional bracing in supination vs dorsal plaster immobilization. Arch Orthop Trauma Surg (1978). 1984; 103(4):251-6. DOI: 10.1007/BF00387330. View

Jenkins N, Jones D, Johnson S . External fixation of Colles' fractures. An anatomical study. J Bone Joint Surg Br. 1987; 69(2):207-11. DOI: 10.1302/0301-620X.69B2.3818750. View

Grana W, Kopta J . The Roger Anderson device in the treatment of fractures of the distal end of the radius. J Bone Joint Surg Am. 1979; 61(8):1234-8. View

10.

Frykman G . Fracture of the distal radius including sequelae--shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. A clinical and experimental study. Acta Orthop Scand. 1967; :Suppl 108:3+. DOI: 10.3109/ort.1967.38.suppl-108.01. View

11.

McQueen M, Maclaren A, Chalmers J . The value of remanipulating Colles' fractures. J Bone Joint Surg Br. 1986; 68(2):232-3. DOI: 10.1302/0301-620X.68B2.3958009. View

12.

LIDSTROM A . Fractures of the distal end of the radius. A clinical and statistical study of end results. Acta Orthop Scand Suppl. 1959; 41:1-118. View

13.

Cooney 3rd W, Dobyns J, Linscheid R . Complications of Colles' fractures. J Bone Joint Surg Am. 1980; 62(4):613-9. View

14.

de Bruijn H . Functional treatment of Colles fracture. Acta Orthop Scand Suppl. 1987; 223:1-95. DOI: 10.3109/17453678709154162. View

15.

Vaughan P, Lui S, Harrington I, Maistrelli G . Treatment of unstable fractures of the distal radius by external fixation. J Bone Joint Surg Br. 1985; 67(3):385-9. DOI: 10.1302/0301-620X.67B3.3997946. View

16.

Stewart H, Innes A, Burke F . Functional cast-bracing for Colles' fractures. A comparison between cast-bracing and conventional plaster casts. J Bone Joint Surg Br. 1984; 66(5):749-53. DOI: 10.1302/0301-620X.66B5.6389558. View

17.

Sarmiento A, Pratt G, Berry N, Sinclair W . Colles' fractures. Functional bracing in supination. J Bone Joint Surg Am. 1975; 57(3):311-7. View

18.

FORGON M, Mammel E . The external fixateur in the management of unstable Colles' fracture. Int Orthop. 1981; 5(1):9-14. DOI: 10.1007/BF00286093. View

19.

Solgaard S . Classification of distal radius fractures. Acta Orthop Scand. 1985; 56(3):249-52. DOI: 10.3109/17453678508993006. View

20.

Solgaard S . Function after distal radius fracture. Acta Orthop Scand. 1988; 59(1):39-42. DOI: 10.3109/17453678809149341. View