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Journal of Hand Surgery (European Volume)
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Articles

Colles’ Fracture Treated with Non-Bridging External Fixation: A 1-Year Follow-Up

J. K. ANDERSEN
A. HØGH
J. GANTOV
M. T. VÆSEL
T. BÆK HANSEN

From the Department of Orthopaedic Surgery, Regional Hospital Viborg, Denmark, and the Orthopaedic Research Unit, Regional Hospital Holstebro, Denmark

Correspondence: Janne Kainsbak Andersen, Vildsvinhøjen 6, 8800 Viborg, Denmark. E-mail:kainsbak{at}fibermail.dk.

The results in 75 of 105 patients with Older type II/III (AO type A2.2, A3.1, A3.2) Colles’ fractures, treated with non-bridging external fixation are presented. The mean age was 67.8 years, and all patients were followed prospectively for 12 months with radiological and functional assessment. No statistically significant loss of radial length, angulation or inclination was seen between the postoperative reduction and the 1-year follow-up examination. The clinical results after 1 year were 66 (88%) excellent/good, nine (12%) fair and 0 (0%) poor according to the modified Gartland and Werley score. Mean visual analogue scale pain score after 1 year was 0.8. In three patients (4%), re-displacement of the fracture occurred and was treated with plating. Non-bridging external fixation offers a reliable method of maintaining radiological reduction of Older type II/III fractures of the distal radius and gives a good functional outcome after 1 year.

Key Words: distal radius fracture • external fixation • Colles’ fracture

Journal of Hand Surgery (European Volume), Vol. 34, No. 4, 475-478 (2009)
DOI: 10.1177/1753193408102457
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