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Abstract
Colles’ fracture in 144 cases, treated at the department of orthopaedic surgery, St. Mary's hospital, Catholic Medical Center, from January 1971 to April 1674, were analyzed and following results were obtained.
1. The fracture victims were mostly in the aged female, over 45 years, and all cases were simple fracture. 94 cases (65. 3%) were stable fracture and 50 cases (34.1%) were unstable one.
2. 62 fractures (43.7%) were in the left wrist, 78 cases (54.9%) in the right, and 2 remainders (1. 4%) in both wrists.
3. Average duration of the clinical union was 5 weeks, in entire sexes: 4 weeks in stable fractures and 6 weeks in unstable fractures.
4. Reduction followed by immobilization in slight flexion and ulnar deviation using a “U” shaped plaster splint were thought to be the best procedure to minimize residual disability. An above-elbow long arm plaster had no advantage in unstable fracture.
5. Immobilization with below–elbow plaster in Colles’ fracture has shown less favorable result than with “U” shaped plaster splint.
REFERENCES
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Fig. 1.
Normal tilt of articular surface of the radius range from 15 to 30 degress (A) å reduction of the radius tilt in a Colles’ fracture (B).
Fig. 2.
Normal volar tilt of the radius ranges from 1 to 23 degrees (A) å dorsal tilt of a Colles’ fracture expressed in minus degrees (B).
Table 1.
Age ând séx distribution
| Sex | Male | Female | Total | |
|---|---|---|---|---|
| Age\ | ||||
| 11-20 | 1 | 2 | 3 | |
| 21 ᅳ 30 | 12 | 5 | 17 | |
| 31-40 | 20 | 6 | 26 | |
| 41-50 | 13 | 11 | 24 | |
| 51-60 | 8 | 31 | 39 | |
| 61 ᅳ 60 | 3 | 19 | 22 | |
| 71-80 | 3 | 8 | 11 | |
| Total | 60(42%) | 82(58%) | 142(100%) |
Table 2.
Side of the fracture in both sexes
| Side\ | Sex | Male | Female | Total |
|---|---|---|---|---|
| Right | 27 | 35 | 62(43.7%) | |
| Left | 32 | 46 | 78(54.9%) | |
| Both | 1 | 1 | 2 (1.4%) | |
| Total | 60 | 82 | 142 |
Table 3.
Classification of fracture by stability in both sexes
| Type\ | Sex | Male | Female | Total |
|---|---|---|---|---|
| Stable | 40 | 54 | 94(65.3%) | |
| Unstable | 21 | 29 | 50(34.7%) | |
| Total | 61 | 83 | 144 |
Table 4.
Concomitant injuries in Coİles fracture in radiography
| Concomitant injuries | No. of cases | Total | |
|---|---|---|---|
| Stable 1 fracture | Uustable fracture | ||
| Avulsion fracture of ulnar styloid process | 28 | 39 | 67 |
| Subluxation of distal radio-ulnar joint | 14 | 48 | 62 |
Table 5.
Mode of immobilization in total and follow-up cases
| Mode | Total cases | Follow-up cases |
|---|---|---|
| Sugar tong splint | 89 | 43 |
| Short arm cast | 37 | 16 |
| Long arm cast | 18 | 16 |
| Total | 144 | 75 |
Table 6.
Average dorsal angulation of the lowef radius angle in degress from the normal plane
| Tpye | Before reduction | After reduction | 6 weeks later |
|---|---|---|---|
| Stable fracture(33 cases) | 22 | 4 | 6 |
| Unstable fracture (42 cas | es) 30 | 5 | 9 |
Table 7.
Average ulnar tilt of the lower end of radius angle in degrees from the normal plane
| Type | Before reduction | After reduction | 6 weeks later |
|---|---|---|---|
| Stable fracture (33 cases) | 9.0 | 2.0 | 3.0 |
| Unstable fracute (42 cases) | ι 12.0 | 2.0 | 4.5 |
Table 8.
Uver-ali result m stable cases (33 cases)
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