Colles' fracture Injury, Occupational Diseases, Poisoning Fracture of forearm
Conditions
Interventions
Transulnar percutaneous pinning (De Palma) versus bridging external fixation. The total duration of follow-up was 2 years.
Sponsors
Federal University of Sao Paulo (Brazil)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The patients were adults aged over 40 years (either sex) who presented with acute fractures with displacement up to 10 days old without previous treatment. The fractures were categorised using the Cooney classification 10 as unstable and reducible: type IIb and type IVb. Fractures were considered unstable if they presented three or more of the following factors at the initial radiographic examination: 1. Shortening of the radius by more than 5 mm 2. Dorsal angulation greater than 20 degrees 3. Joint incongruence 4. Fracture associated with the styloid process of the ulna 5. Dorsal comminution of the metaphysis 6. Aged greater than 60 years
Exclusion criteria
Exclusion criteria: 1. Fractures with volar angulation (Smith fracture) 2. Joint margin fractures (Barton fracture) 3. Open or bilateral fractures 4. Fractures that could not be reduced 5. Patients with previous histories of degenerative disease, wrist joint trauma, or traumatic injuries associated with the fracture that would make it impossible to apply the proposed surgical methods or evaluate the results 6. Patients who refused to sign the free and informed consent statement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at 6 months and 2 years: 1. Disability Arm Shoulder and Hand questionare (DASH) 2. Visual Analogue Scale (VAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at 6 months and 2 years: 1. Radiographic outcomes: radiographs in posteroanterior and lateral views were used for evaluation, and the following parameters were measured: volar inclination angle, radial inclination angle, presence of a stepped joint and consolidation. 2. Objective functional assessment: range of motion and grip 3. Complications and failures Functional and radiographic evaluations, pain measurements using the VAS, and applications of the DASH questionnaire were performed by professional orthopedists and physiotherapists who were not directly associated with the study | — |
Countries
Brazil
Outcome results
None listed