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Abstract
A controlled prospective trial of early exercise of slightly displaced fractures of
the distal radial metaphysis has been performed. Twenty-eight fractures were enclosed
in a tubigrip support 7–13 days after injury and 28 fractures were splinted in below-elbow
plaster for 4 weeks. It was found that early movement of the wrist produced a superior
functional result at 5 and 7 weeks (P < 0.05) and allowed an earlier recovery of domestic skills (P < 0.05). Early exercise did not improve recovery of strength of grip and did not
produce a higher incidence of malunion. Patients treated in tubigrip experienced no
more pain in weeks 4 and 6 and apart from one failure, no patient actively disliked
this form of treatment and 22 were totally satisfied.
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References
- 6th ed. Apley's System of Orthopaedics and Fractures. Butterworth Scientific, London1982: 347
- Evaluation of healed Colles' fractures.J Bone Joint Surg. 1951; 33A: 895
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- Functional cast-bracing for Colles' fractures: a comparison between cast-bracing and conventional plaster casts.J. Bone Joint Surg. 1984; 66B: 749
Article info
Publication history
Accepted:
November 27,
1986
Identification
Copyright
© 1987 Published by Elsevier Inc.
