Parry B R
Hamot Medical Center, Erie, Pennsylvania, USA.
Am J Orthop (Belle Mead NJ). 1997 Jan;26(1):45-50.
Colles' fracture of the distal radius is a common injury; however, controversy exists over the treatment of unstable fractures of this type. A retrospective analysis of patients with distal radius fractures treated with pins and plaster was performed to assess the effectiveness of the technique. The study group comprised 73 patients (10 men and 63 women) with an average age of 64.7 years (range, 51 to 82). Roentgenographic measurements of radial height, radial angle, and volar angle were compared at initial and final treatment. Medical records were reviewed for complications. A difference in radial height of 1.6 mm was observed from the first postoperative visit to the final assessment (P = .001); however, this was not believed to be clinically significant. The differences in the radial and volar angles were negligible and not statistically significant. The complication rate was 55%, with the most common complication being some degree of residual finger and wrist stiffness (39%). Pin tract infection occurred in only 1 patient. The use of pins and plaster is a feasible alternative in the management of low-energy distal radius fractures.
桡骨远端Colles骨折是一种常见损伤；然而，对于此类不稳定骨折的治疗仍存在争议。对采用克氏针和石膏治疗的桡骨远端骨折患者进行了回顾性分析，以评估该技术的有效性。研究组包括73例患者（10例男性和63例女性），平均年龄64.7岁（范围51至82岁）。在初始治疗和最终治疗时比较了桡骨高度、桡骨角和掌倾角的X线测量值。对病历进行了并发症审查。从术后首次随访到最终评估，观察到桡骨高度有1.6 mm的差异（P = .001）；然而，这在临床上被认为无显著意义。桡骨角和掌倾角的差异可忽略不计，且无统计学意义。并发症发生率为55%，最常见的并发症是某种程度的手指和腕关节残余僵硬（39%）。仅1例患者发生针道感染。在低能量桡骨远端骨折的治疗中，使用克氏针和石膏是一种可行的替代方法。
