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Related Experiment Videos

External fixation for redislocated Colles' fractures.

U Jonsson

    Acta Orthopaedica Scandinavica
    |December 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Rereduction and external fixation using the Hoffmann apparatus effectively treat redislocated Colles' fractures. This method shows satisfactory outcomes with minimal complications, supporting its routine use for these injuries.

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    Area of Science:

    • Orthopedics
    • Traumatology
    • Surgical Techniques

    Background:

    • Colles' fractures are common wrist injuries, with redislocation occurring in a small percentage of cases.
    • Management of redislocated Colles' fractures requires effective reduction and stabilization techniques.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of rereduction and external fixation for redislocated Colles' fractures.
    • To assess the functional and anatomical results using Frykman's criteria and radiological analysis.

    Main Methods:

    • Retrospective analysis of 57 patients with redislocated Colles' fractures treated with rereduction and Hoffmann external fixation.
    • Follow-up duration of at least 1 year.
    • Assessment using Frykman's criteria for functional outcomes and radiological evaluation of radial shortening and articular plane alignment.

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    Main Results:

    • Overall, 43 out of 57 patients (75%) achieved excellent or good results according to Frykman's criteria.
    • Anatomical analysis revealed no increase in deformity during fixation, with a mean radial shortening of 3.0 mm.
    • Five cases of pin loosening occurred in early patients, but resolved without adverse long-term effects; no pin-tract infections were reported.

    Conclusions:

    • Rereduction combined with Hoffmann external fixation is a reliable method for managing redislocated Colles' fractures.
    • The technique provides satisfactory functional and anatomical outcomes with a low rate of complications.
    • This approach is justified for routine use in cases of redislocated Colles' fractures.