A meta-analysis of outcomes in Colles fractures treated conservatively in elderly patients
Journal Title: IP International Journal of Orthopaedic Rheumatology - Year 2017, Vol 3, Issue 2
Abstract
Background: Fractures of the distal end of radius or Colles’ fracture was first described by Sir Abraham Colles in nineteenth century. It commonly occurs in the elderly people having osteoporosis. It is caused by fall on the outstretched hand. In Colles fracture, the fragments are usually displaced &impacted in elderly people because of fragile bone. In elderly patients with Colles fracture, there is always a lacuna created at the impacted site of fracture in the metaphyseal bone & this void at fracture site between the distal and proximal fragments results in collapse of the fracture fragments. This leads to mal union with gross functional impairment. Even then, these fractures are very well reduced and immobilized with plaster. However, these fractures are having predisposition to collapse due to formation of void especially in the elderly patients. These patients develop deformity if treated without any sort of surgical management for example internal fixation, external fixation, percutaneous pinning, with or without bone grafting. Results & Conclusion: Our retrospective study of 100 Colles’ fractures treated conservatively by closed reduction & plaster immobilizations showed all the cases of Colles’ fractures had developed mal union & functional impairments ranging from minor to disabling activities of daily living.
Authors and Affiliations
Chirag R. Khandelwal, RCS Khandelwal
Keywords
Related Articles
- EP ID EP299485
- DOI 10.18231/2455-6777.2017.0017
- Views 79
- Downloads 0
Osteochondroma of the talus presenting with tarsal tunnel syndrome - A case report
Osteochondromas are common benign tumours affecting the long bones of the body Often they are asymptomatic associated with growing bone and their discovery is incidental Osteochondromas in the talus are quite rare and th...
Ultrasonography as diagnostic tool in rotator cuff injuries of shoulder
Introduction Rotator Cuff injuries are quite common in adults with or without trauma These are suspected on clinical history and examination and commonly confirmed by Ultrasonography and MRI of shoulder This study aims t...
Clinical effects of half- and full-dose abatacept are equivalent
Objectives: To compare the clinical effect and cost effectiveness of half- and full-dosage abatacept in patients aged over 65 years diagnosed with rheumatoid arthritis. Methods: Sixty-three elderly patients aged > 65 yea...
Functional outcome of tibial plateau fractures treated with locking compression plates
Introduction and Objectives Tibial plateau fractures are one of the most common fractures around the knee joint and cases are increasing due to high number of vehicular accidents Because of the involvement of the knee jo...
JAK inhibitors: Evolving therapies in rheumatoid arthritis
In rheumatoid arthritis there has been a paradigm shift from controlling symptoms to controlling the disease progress with abrogation of inflammation Achieving this remission or very low disease activity has become incre...