EARLY AND LATE DISPLACEMENT OF FRACTURES OF THE DISTAL RADIUS - THE PREDICTION OF INSTABILITY

被引:43
作者
ALTISSIMI, M
MANCINI, GB
AZZARA, A
CIAFFOLONI, E
机构
[1] Istituto di Ortopedia e Traumatologia, Università di Perugia, Policlinico Monteluce, Perugia
关键词
D O I
10.1007/BF02484412
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
One hundred fractures of the distal radius with dorsal displacement were treated by closed reduction and a plaster cast. The mean age of the patients was 55 years. Radiographs were taken after 1, 2 and 5 weeks to evaluate the frequency of early and late displacement. Dorsal angulation occurred in 71 patients, shortening of the radius in 47 and flattening of the radial angle in 32. Late displacement was more frequent than early. Statistical analysis showed a greater incidence of secondary shortening in Older's types III and IV fractures. The severity of the initial radial shortening was the most reliable indication of instability.
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页码:61 / 65
页数:5
相关论文
共 12 条
[1]  
Abbaszadegan H., Von Sivers K., Jonsson U., Late displacement of Colles' fractures, Int Orthop, 12, pp. 197-199, (1988)
[2]  
Abbaszadegan H., Jonsson U., Von Sivers K., Prediction of instability of Colles fractures, Acta Orthop Scand, 60, pp. 646-650, (1989)
[3]  
Altissimi M., Antenucci R., Fiacca C., Mancini G.B., Long-term results of conservative treatment of fractures of the distal radius, Clin Orthop, 206, pp. 202-210, (1986)
[4]  
Cooney W.P., Linscheid R.L., Dobyns J.H., External pin fixation for unstable Colles fractures, J Bone Joint Surg [Br], 61, pp. 840-845, (1979)
[5]  
Fenyo G., Johansson O., Secondary displacement of reduced distal radius fractures, Acta Orthopaedica, 45, pp. 76-81, (1974)
[6]  
Gartland J.J., Werley C.W., Evaluation of healed Colles fractures, J Bone Joint Surg [Am], 33, pp. 895-907, (1951)
[7]  
Jenkins N.H., The unstable Colles fracture, J Hand Surg [Br], 14, pp. 149-154, (1989)
[8]  
Older T.M., Stabler E.V., Cassebaum W.H., Colles fracture: evaluation and selection of therapy, J Trauma, 5, pp. 469-476, (1965)
[9]  
Roumen R.M.H., Hesp W.L.E.M., Bruggink E.D.M., Unstable Colles fractures in elderly patients: a randomised trial of external fixation for redisplacement, J Bone Joint Surg [Br], 73, pp. 307-311, (1991)
[10]  
Solgaard S., Classification of distal radius fractures, Acta Orthop Scand, 56, pp. 249-252, (1984)