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Journal of Hand Surgery (British and European Volume)
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Articles

A Randomized Comparison of Locking and Non-Locking Palmar Plating for Unstable Colles’ Fractures in the Elderly

M. KOSHIMUNE
M. KAMANO
K. TAKAMATSU
H. OHASHI

From the Department of Orthopaedic Surgery, Saiseikai Nakatsu Hospital and Medical Center based on the Social Welfare Organization, Saiseikai Imperial Gift Foundation Inc, Japan

Correspondence: M. Koshimune, Department of Orthopaedic Surgery, Saiseikai Nakatsu Hospital and Medical Center based on the Social Welfare Organization, Saiseikai Imperial Gift Foundation Inc, Shibata 2-10-39, Kita-ku, Osaka, 530-0012, Japan. Tel.: +81 6 6372 0333; fax: +81 6 6372 8737. E-mail: koshimun{at}cg7.so-net.ne.jp

This study compared the effectiveness of locking and non-locking palmar plating for unstable Colles’ fractures in the elderly. The patients treated with locking plates included 4 men and 18 women with a mean age of 68 years (Group A) and those treated with non-locking plates included 3 men and 28 women with a mean age of 74 years (Group B). Radiographic parameters, including palmar tilt, radial inclination and radial length were measured before surgery, after surgery and at final followup. There were no significant differences in respect of any of the radiographic parameters between the two groups pre-operatively. After surgery, all of the radiographic parameters were improved in both groups and there were no significant differences between the two groups at final followup.

Key Words: fracture of the distal radius • locking plate • non-locking plate • palmar approach • elderly people

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 5, 499-503 (2005)
DOI: 10.1016/j.jhsb.2005.04.018
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 J Am Acad Orthop SurgHome page
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