Summary
A prospective radiological study was performed on 170 Colles' fractures which were reduced and treated in plaster. Twenty-nine fractures, which displaced and which needed a further reduction and external fixation, were excluded. The mean length of the radius decreased during plaster treatment to the same position as before the initial reduction. Radial angular compression also increased significantly during treatment. Among the seventeen fractures which were malunited, twelve had definitely displaced after the 11th day.
Résumé
Une étude radiologique prospective a été effectuée sur 170 fractures du poignet initialement réduites et traitées par plâtre. Ont été exclues vingt neuf fractures qui s'étaient déplacées au cours des deux premières semaines au point qu'une nouvelle réduction et une fixation externe soient jugées nécessaires. En moyenne, la compression radiale des fractures a augmenté au cours du traitement par plâtre, jusqu'à revenir à la même position qu'avant la réduction initiale. L'angulation radiale a également augmenté de manière significative durant le traitement. Parmi les fractures qui ont abouti à un mauvais résultat, douze accusaient un net déplacement au-delà du 11ème jour.
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Abbaszadegan, H., von Sivers, K. & Jonsson, U. Late displacement of Colles' fractures. International Orthopaedics 12, 197–199 (1988). https://doi.org/10.1007/BF00547163
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DOI: https://doi.org/10.1007/BF00547163