Early Results After Colles' Fracture: Functional Bracing in Supination Vs Dorsal Plaster Immobilization

Overview

Journal Arch Orthop Trauma Surg (1978)

Specialty Orthopedics

Date 1984 Jan 1

PMID 6391415

Citations 13

Authors

C Bunger

K Solund

P Rasmussen

Affiliations

Soon will be listed here.

Abstract

A randomized clinical study of functional bracing in supination (FUSU) versus dorsal plaster immobilization (DPI) was conducted in 145 patients with Colles' fracture. A dynamic wrist unit was developed and used in 68 patients allocated for FUSU. The anatomical end result after FUSU was excellent or good in 80% of the patients versus 64% after DPI (P less than 0.05), in particular due to less dorsal angulation (P less than 0.001) and less radial shortening. The functional recovery was equal after 7 weeks and 3 months. At 6 months, 92% satisfactory results were achieved after FUSU versus 86% after DPI (P less than 0.05). Both anatomical and functional benefits were recorded in Frykman type V, VI, and VIII fractures and in the group of displaced intra-articular fractures. The functional benefit from FUSU is suggested primarily to be secondary to decreased fracture redislocation.

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References

Sarmiento A, Zagorski J, Sinclair W . Functional bracing of Colles' fractures: a prospective study of immobilization in supination vs. pronation. Clin Orthop Relat Res. 1980; (146):175-83. View

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

Pool C . Colles's fracture. A prospective study of treatment. J Bone Joint Surg Br. 1973; 55(3):540-4. View

Hinding E . Fractures of the distal end of the forearm. Radiological evaluation of the incidence of displacement after treatment by circular high cast as compared with circular low cast. Acta Orthop Scand. 1972; 43(5):357-65. DOI: 10.3109/17453677208998955. 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

CASSEBAUM W . Colles' fracture; a study of end results. J Am Med Assoc. 1950; 143(11):963-5. DOI: 10.1001/jama.1950.02910460021006. View

WILLENEGGER H, GUGGENBUHL A . [Operative treatment of certain cases of distal radius fracture]. Helv Chir Acta. 1959; 26(2):81-94. View

Palmer A, Glisson R, Werner F . Ulnar variance determination. J Hand Surg Am. 1982; 7(4):376-9. DOI: 10.1016/s0363-5023(82)80147-0. View

BACORN R, Kurtzke J . Colles' fracture; a study of two thousand cases from the New York State Workmen's Compensation Board. J Bone Joint Surg Am. 1953; 35-A(3):643-58. 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.

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

12.

Cozen L . Colles' fracture; a method of maintaining reduction. Calif Med. 1951; 75(5):362-4. PMC: 1521080. 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.

Bunger C, Solund K, Rasmussen P . [Colles' fracture treated in supination with a dynamic splint. A prospective study]. Ugeskr Laeger. 1982; 144(43):3150-2. View

15.

Wahlstrom O . Treatment of Colles' fracture. A prospective comparison of three different positions of immobilization. Acta Orthop Scand. 1982; 53(2):225-8. DOI: 10.3109/17453678208992206. View

16.

DePALMA A . Comminuted fractures of the distal end of the radius treated by ulnar pinning. J Bone Joint Surg Am. 1952; 24 A(3):651-62. 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.

Cooney 3rd W, Linscheid R, Dobyns J . External pin fixation for unstable Colles' fractures. J Bone Joint Surg Am. 1979; 61(6A):840-5. View

19.

Van der Linden W, Ericson R . Colles' fracture. How should its displacement be measured and how should it be immobilized?. J Bone Joint Surg Am. 1981; 63(8):1285-8. View

20.

Sarmiento A . The brachioradialis as a deforming force in Colles' fractures. Clin Orthop Relat Res. 1965; 38:86-92. View