1.Colles' Fracture Treated with Radial Slab or U-cast
Jung Man KIM ; Seung Koo RHEE ; In KIM ; Dae Sang YOO
The Journal of the Korean Orthopaedic Association 1984;19(5):857-863
Sixty six Colles' fracture were treated with radial slab or U-cast (sugar tong splint), from January 1982 through May 1984 at the Department of Orthopaedic Surgery of St. Mary Hospital. A prospective study was made and was evaluated under the subjective criteria of Gartland and Werley, and the objective criteria of Scheck. The results of this study were as follows: 1. All of 66 cases was closed fracture and the incidence was high in females who aged over 6thdecades. 2. In 43 cases of stable fracture, 18 (94.7 %) out of 19 cases treated with radial slab and 21 (87.5%) out of 24 cases treated with U-cast showed satisfactory result. 3. In 23 cases of unstable fracture, 6 (54.6%) out of 11 cases treated with radial slab and 9 (75%) out of 12 cases treated with U-cast showed satisfatory result. 4. As a result, we found that the result of the treatment with radial slab was superior to the U-cast for the stable Colles fracture, however, all of two methods were not staisfatory for the unstable Colles fracture although the U-cast group showed better result.
Colles' Fracture
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Female
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Fractures, Closed
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Humans
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Incidence
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Prospective Studies
2.Surgical Treatment of Malunited and Nonunited Colles' Fracture: Report of 6 Cases
Hui Wan PARK ; Jun Seop JAHNG ; Jun Dong CHANG
The Journal of the Korean Orthopaedic Association 1985;20(6):1061-1066
Even though closed treatment of Colles' fracture leads to satisfactory clinical results, many patients who have had such a fracture are found to have permanent disability and poor function of hand and wrist. Malunion occurs frequently following Colles' fracture and there is considerable disability, pain and deformity associated with this lesion. Such deformity of wrist can usually be prevented by proper treatment, but if deformity developes, better function and a normal appearing wrist can be restored by a corrective osteotomy. The authors experienced 6 cases of malunited Colles' fracture which had been treated by corrective osteotomy, Darrach resection, and osteoclasis, etc.
Colles' Fracture
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Congenital Abnormalities
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Hand
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Humans
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Osteotomy
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Wrist
3.Treatment of Colles fracture with self-made skidproof small splint.
Shi-yi FENG ; Qi-cai WANG ; Jian-gao XU ; Qi-guang LIU ; Liang SHI ; Ai-min DU
China Journal of Orthopaedics and Traumatology 2009;22(7):551-553
Adult
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Aged
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Aged, 80 and over
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Colles' Fracture
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therapy
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Female
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Fracture Fixation
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Humans
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Male
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Middle Aged
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Splints
4.Effect of various external fixation for the treatment of Colles fracture.
Cun-Gen LIU ; Zai-Ru PENG ; Yu SONG ; Gong-Ming LUO
China Journal of Orthopaedics and Traumatology 2008;21(6):425-426
OBJECTIVETo observe restoration of the wrist function and complications of Colles fracture treated with different kinds of external fixation.
METHODSTwo hundreds and seventy-five patients with Colles fracture during March 1998 to Oct 2006 which were fixed with three kinds of external fixation were analyzed retrospectively. Group A: there were 95 patients, 61 male, 34 female, with an average age of (26.2 +/- 0.4) years, fixed by the small moulding plywood on the wrist in mild dorso-extend or neutral position; Group B:90 patients, 61 male, 29 female, with an average age of (24.0 +/- 1.5) years, fixed by the small moulding plywood on the wrist in mild palmar flexion; Group C: 90 patients, 65 male, 25 female, with an average age of (25.0 +/- 2.1) years, fixed by plaster on the wrist in mild dorso-extend or neutral position. According to the Frykaman typing,number of type I to VIII in group A was 25, 31, 20, 11, 3, 2 ,2, 1 in turn,type I to VIII in group B was 22, 30, 17, 9, 4, 4, 2, 2 in turn; type I to VIII in group C was 24, 30, 18, 9, 4, 3, 1, 1 in turn. Comparing the age, sex and the type of fracture, there were no statistical significant differences among three groups. After 6 to 18 months following-up survey, the restoration of the wrist and complication incidence were statistically analyzed.
RESULTSTo compare the restoration of the wrist joint and complication incidence after various fixation, there were significant differences between group A and B and C (P < 0.05) in statistics.
CONCLUSIONThe treatment of the Colles fracture by the small moulding plywood fixation on the wrist in mild dorso-extend or neutral position is benefit to restore the wrist joint function and has fewer complications..
Adult ; Colles' Fracture ; surgery ; External Fixators ; Female ; Fracture Fixation ; methods ; Humans ; Male ; Retrospective Studies
5.Retrospective study on the modified Uhl technique of closed reduction and percutaneous pin in the treatment of Colles' fracture.
Zhao-Hui LI ; Zhong-Yi SUN ; Zhen NIE ; Yu CHEN ; Wei-Zhi NIE
China Journal of Orthopaedics and Traumatology 2023;36(9):821-826
OBJECTIVE:
To retrospectively assess the advantages of the modified Uhl technique in the treatment of Colles' fracture guided by the principles of Chinese osteosynthesis (CO) concept.
METHODS:
A retrospective study was conducted on 358 patients with Colles' fracture treated with the modified Uhl technique of closed reduction and percutaneous pin between January 2016 and June 2021. Out of these, 120 eligible cases were selected and categorized into two groups according to different surgical methods:the closed reduction and percutaneous pin group, and the open reduction group. Sixty-eight patients in the closed reduction and percutaneous pin group were treated with the modified Uhl technique, while fifty-two patients in the open reduction group were treated with open reduction and internal fixation using plates. The modified Sarmiento imaging score, Gartland-Werley wrist score, operation time, hospital stay, and treatment costs between the two groups were compared at a 6-month postoperative follow-up.
RESULTS:
There were no significant differences in terms of gender, age, affected side, injure factors, time of injury to surgery, Sarmiento imaging score, and Gartland-Werley wrist joint score (P>0.05). The closed reduction and percutaneous pin group exhibited an operation time of (35.88±14.11) minutes, hospitalization stay of (9.78±2.48) days, and treatment costs of (16 074.91±1 964.48) yuan, while the open reduction group demonstrated comparatively longer operation time of (65.48±14.26) minutes, hospitalization stay of (15.88±2.00) days, and treatment costs of (20 451.27±1 760.22) yuan (P<0.01).
CONCLUSION
The modified Uhl technique presents notable advantages in the management of Colles' fracture, including reliable fixation, less trauma, shorter operation time, less pain, shorter hospital stay, and cost-effectiveness. This technique exhibits promising potential for broader clinical application. However, it is important to note that the pin could potentially damage tendons, and in cases of Colles' fractures with osteoporosis and comminuted fragments, additional techniques may be required for reliable fixation.
Humans
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Retrospective Studies
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Colles' Fracture/surgery*
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Fracture Fixation, Internal
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Fractures, Comminuted
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Hospitalization
6.Long bone fractures identified in the Joseon Dynasty human skeletons of Korea.
Deog Kyeom KIM ; Myeung Ju KIM ; Yi Suk KIM ; Chang Seok OH ; Sang Seob LEE ; Sang Beom LIM ; Ho Chul KI ; Dong Hoon SHIN
Anatomy & Cell Biology 2013;46(3):203-209
Fracture is one of the pathological signs most frequently encountered in archaeologically obtained bones. To expand the paleopathological knowledge on traumatic injuries, it is desirable to secure data on long bone fractures from as wide a geographic and temporal range as possible. We present, for the first time, evidence of long bone fractures in a 16th-18th century Joseon skeletal series (n=96). In this study, we found 3 Colles' fractures of the radius in 2 individual cases. The pattern of fractures was unique. Although previous reports show that the ulna is broken more often than the radius, ulnar fracture associated with fending off a blunt attack was rare in our series (1/7 cases). Transverse fractures, typically caused by intentional violence, were also very rare (1/7 cases) in this study. These results may reflect the relatively tranquil lives of the Joseon people in 16th-18th century Korea. We also found post-fracture complications such as deformations, bone length shortening, and osteomyelitis. The present study would be of interest to medical scientists in related fields because it is one of the few studies conducted on long bone fractures among pre-modern societies in East Asian countries, thus far.
Asian Continental Ancestry Group
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Colles' Fracture
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Fractures, Bone
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Humans
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Korea
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Osteomyelitis
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Radius
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Skeleton
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Ulna
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Violence
7.The Factors Predicting Secondary Displacement after Closed Reduction of Unstable Distal Radius Fracture.
Jung Suk LEE ; Jae Hoon LEE ; Young Joon KIM ; Jong Hun BACK ; Wook Jae SONG ; Jin Sung PARK ; Duke Whan CHUNG ; Chung Soo HAN
Journal of the Korean Society for Surgery of the Hand 2017;22(1):13-19
PURPOSE: It has been studied prognostic factors about secondary displacement after conservative treatment of the distal radius fracture, but each study showed different results. Authors retrospectively evaluated factors known to be involved secondary displacement of the distal radius fracture to determine its significance. METHODS: One hundred eighteen cases of the radiographically unstable distal radius fractures that closed reduction was adequately performed were retrospectively studied and the radiographic images were taken at 1, 2, 3, 4, 6 weeks after closed reduction. During follow-up, dorsal tilt more than 15°, volar tilt more than 20°, ulnar positive variance more than 4 mm, radial length less than 6 mm, radial inclination less than 10° were thought of the loss of reduction. RESULTS: In 41 cases (34.7%), the loss of reduction occurred. Sex, intra-articular fracture, dorsal and volar comminution, concomitant ulnar fracture and involvement of the distal radio-ulnar joint were statistically not significant. Analysis results of the binomial logistic regression model were as follows: age (p=0.003), radial shortening (p=0.010) and ulnar positive variance (p=0.010) were statistically significant as the predictive prognostic factors. Analysis results of the multinomial logistic regression model showed age (p=0.006) as an only statistically significant factor. CONCLUSION: As the predictive prognostic factors for development of secondary displacement after conservative treatment of the unstable distal radius fracture, age was determined as most significant factor. Also radial shortening and ulnar positive variance were thought of the predictive factors for secondary displacement.
Colles' Fracture
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Follow-Up Studies
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Intra-Articular Fractures
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Joints
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Logistic Models
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Radius Fractures*
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Radius*
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Retrospective Studies
10.Bone setting manipulation and splint fixation for the treatment of Colles fracture in 78 patients.
China Journal of Orthopaedics and Traumatology 2011;24(11):909-910
Adult
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Aged
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Aged, 80 and over
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Colles' Fracture
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surgery
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Female
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Humans
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Male
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Manipulation, Orthopedic
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Middle Aged
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Splints