J Korean Orthop Assoc.  1975 Mar;10(1):57-65. 10.4055/jkoa.1975.10.1.57.

The Treatment of Colles, Fracture: Report of 144 Cases

• Kim ST

• KMID: 2471446
• DOI: http://doi.org/10.4055/jkoa.1975.10.1.57

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 1974, 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 (34.7%) 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.

MeSH Terms

Arm
Colles' Fracture
Female
Humans
Immobilization
Splints
Wrist

Figure

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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).

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  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).

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