Understanding the treatment of Colles fracture with wrist joint fixation with plaster in flexion-ulnar position / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the clinical effects of wrist joint fixation in flexion-ulnar position for the treatment of Colles fracture.</p><p><b>METHODS</b>From January 1998 to June 2008,120 patients with Colles fracture were treated with wrist joint fixation with plaster in flexion-ulnar position. There were 52 males and 68 females with an average age of 57.6 years (ranged, 22 to 90); 41 cases were left, 69 cases were right, and 10 cases were hibateral. All of them were fresh closed fractures. According to fracture displacement to typing, type I of 34 cases, type II of 36 cases, type III of 32 cases, type IV of 18 cases.</p><p><b>RESULTS</b>With dislocated (II-IV type) 86 patients were followed up for 10 months in average. 86 cases with displaced fragments achieved clinical bony union. According to standard of Dienst, 59 cases got excellent results, 12 good, 10 fair, and 5 poor.</p><p><b>CONCLUSION</b>The wrist fixation with plaster in flexion-ulnar position in treating Colles fracture may maintain good fixation after reduction and obtain better functional recovery.</p>