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Abstract
Thirty elderly patients with moderately displaced Colles' fractures were randomly
assigned to manipulation under Bier's block or plaster immobilization alone. Moderately
displaced was defined as 10° to 30° of dorsal angulation and less than 5 mm of radial
shortening compared with the uninjured side. The groups were well matched for age,
sex, fracture type and displacement; immobilization time and rehabilitation were standardized.
The outcome measures were: radiological position at union, the functional score of
Gartland and Werley, grip strength, cosmesis and algodystrophy assessment. There was
no detectable difference between the groups in any of the outcome measures. Two-thirds
of the correction of dorsal angulation achieved by manipulation was lost by 5 weeks.
We conclude that up to 30° of dorsal angulation and 5 mm of radial shortening may
be accepted in selected elderly patients.
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Article info
Publication history
Accepted:
December 4,
1996
Identification
Copyright
© 1997 Published by Elsevier Inc.