Adolphson P, Abbaszadegan H, Jonsson U
Department of Orthopaedics, Danderyd Hospital, Sweden.
Int Orthop. 1993;17(1):13-5. doi: 10.1007/BF00195215.
Many Colles' fractures are unstable and have a tendency to redisplace when immobilised in plaster. In an earlier study, we found a high correlation between several parameters from the initial radiographs in 267 patients and the anatomical end results. The predictive power of a new computer programme designed from the data of these patients was investigated in a further group of 107 Colles' fractures. Prediction of the final radiological position was good, especially in the least and moderately displaced fractures. We have found that the initial radial shortening, the type of fracture according to Lidström's classification, and the age of the patients have the greatest value in predicting whether a Colles' fracture will displace to an unacceptable degree.
许多科莱斯骨折是不稳定的，用石膏固定时容易再次移位。在早期的一项研究中，我们发现267例患者初始X线片的几个参数与解剖学最终结果之间存在高度相关性。根据这些患者的数据设计的一个新的计算机程序在另外107例科莱斯骨折患者中进行了预测能力的研究。对最终放射学位置的预测良好，尤其是在移位最少和中度移位的骨折中。我们发现，初始桡骨缩短、根据利德斯特伦分类的骨折类型以及患者年龄在预测科莱斯骨折是否会移位到不可接受的程度方面具有最大价值。
