Casting acute fractures. Part 6--The Colles slab.

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.