Journal List > J Korean Soc Fract > v.14(1) > 1077153

Kim, Yun, Kim, Koh, Yoo, and Chang: Evaluation of Radiological Results After Closed Reduction in Colles` Fracture

Abstract

Purpose

This study is to evaluate the radiologic results after close reduction for the distal radius fractures that were reduced.

Material and Method

From March 1996 to Feburary 1999, thirty-four patients with distal radius fracture were treated with close reduction and cast immobilizationat at Ewha Womans University Hospital. The radiograph were taken after reduction and at 3days, 2 weeks, 4 weeks, 6 weeks. Three parametersof the radiograph were measured.; radial inclination, palmar angulation and radial shortening. The radiological results were estimated by the criteria of Sarmiento.

Results

In 34 patients, type I were 10 cases, type II were 15 cases, type III were 6 cases, type IV-A were 3 cases by the Universal classification. The average value of the radiologic parameters after reduction were followings s; radial inclination(RI) 18.2°, palmar angulation(PA) 9.3° and radial shortening(RS) 1.8mm in type I. RA 17.2°. PA 8.4° and RS 2.0mm in type II. RI 16.5°, PA 8.0°, RS 2.5mm in type III. RI 14.9°, PA 7.7°, RS 3.5mm in type IV. At 6weeks after reduction, RI 17.8°, PA 9.2° and RS 2.1mm in type I. RA 16.7°, PA 7.6° and RS 2.6mm in type II, RI 15.4°, PA 7.0°, RS 4.0mm in type III. RI 13.3°, PA 6.2°, RS 5.2mm in type IV.

Conclusion

Loss of reduction after close reduction with cast immobilization for type III and IV were occurred more frequtently than type I and II.

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