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Casting acute fractures. Part 6--The Colles slab
1Gold Coast Hospital, Queensland.
Australian Family Physician
|April 17, 2001
Abstract
Background:
Colles fractures are common in our ageing population. Safety maintaining reduction with a fully split encircling cast is time and labour intensive. This article explores a near encircling slab as a simpler alternative.
Objective:
The specific technique for the application of a strong slab likely to safely maintain reduction is demonstrated. Correct moulding techniques and position are emphasised.
Discussion:
Maintenance of reduction of these fractures is important for final outcome. Slight rather than marked palmar flexion is a significant change in current practice improving outcome. Closure of this slab at follow up can convert it quickly and cheaply to a definitive encircling cast.