Which Colles' fractures should be manipulated?

S Dixon, P Allen, GC Bannister

Research output: Contribution to journalArticle (Academic Journal)

13 Citations (Scopus)

Abstract

Ninety-two patients with displaced Cones' fractures were followed prospectively after manipulation under regional anaesthesia. Radiographs were taken before and after manipulation and after 3 months when a functional assessment was also made. A correlation was sought between outcome and radiological measurements. Final radial shortening of 3 mm or more was associated with a significantly worse functional outcome after 3 months (P <0.001). Where the initial radial shortening was 3 mm or more, the probability of malunion was 65% whereas with less than 3 mm, the probability of malunion was 28% (P <0.001). With 5 mm or more of radial shortening at presentation, the probability of malunion was 73% (P <0.01). The decision to manipulate remains a matter of judgement but a high failure rate renders simple manipulation and plaster cast fixation a poor treatment option in fractures with 5 mm or more of radial shortening at presentation.
Translated title of the contributionWhich Colles' fractures should be manipulated?
Original languageEnglish
Pages (from-to)81 - 83
Number of pages3
JournalInjury
Volume36(1)
Publication statusPublished - 2005

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    Dixon, S., Allen, P., & Bannister, GC. (2005). Which Colles' fractures should be manipulated? Injury, 36(1), 81 - 83.