Vol 41 | Issue 1 | Jan-Jun 2020 | page: 11-16 | Nirmal Chandra Mahapatra, Ramesh Chandra Maharaj, Jugaratna Khatua, Debi Prasad Nanda
Authors: Nirmal Chandra Mahapatra , Ramesh Chandra Maharaj , Jugaratna Khatua , Debi Prasad Nanda 
 Dept Of Orthopedics, SCB Medical College & Hospitals, Cuttack, Odisha India.
Address of Correspondence
Dr. Debi Prasad Nanda,
SCB Medical College & Hospitals, Cuttack, Odisha India
Background: Perkin-Colles’ fracture however may leave behind a deformed wrist.
Aim: To evaluate how the period of immobilization in conservative treatment of extra-articular Colle’s type fractures of the distal radius affects functional outcome.
Objective: One group was immobilized for 4 week another group for 6 weeks.
Null Hypothesis: There is no difference between two groups in terms of functional outcome.
Methods: This prospective study included 70 patients and was carried in S.C.B. Medical College in Department of Orthopedics from 2017-19.One group was immobilized for 4 week another group for 6 weeks. Standard radiographs were made of both wrists in two directions after the fracture, then of the injured side on day 11 following repositioning, and at 3month and 6 month. Anatomical results were assessed by evaluating the dorsal angulation, loss of radial inclination, and loss of radial length. Functional results were assessed by the evaluation of pain, range of active motion, grip strength, and appearance of the wrist joint.
Results: 1-No Statistically significant difference between two groups in terms of functional outcome in 6 months 2- Statistically significant difference between two groups in terms of functional outcome in 3 months.
Conclusion: In long term follow up there is no difference in functional outcome with respect to period of immobilization rather it is more related to the radiological (anatomical) outcome.
Keywords: Casts, Conservative, Mayo score, Colles’ fracture, hand strength, prospective studies, radiography, range of motion, articular; treatment failure.
1-Ark J, Jupiter JB. The rationale for precise management of distal radius fractures. Orthop Clin North Am 1993;24:205-10.
2-Jupiter JB. Fractures of the distal end of the radius. J Bone Joint Surg Am 1991;73:461-9.
3-Alfram PA, Bauer GC. Epidemiology of fractures of the forearm: a biomechanical investigation of bone strength. J Bone Joint Surg Am 1962;44:105-14.
4-Hesp R, Klenerman L, Page L. Decreased radial bone mass in Colles’ fracture. Acta Orthop Scand 1984;55:573-5.
5-Cassebaum WH. Colles’ fracture: a study of end results. JAMA 1950;143:963-5.
6-Golden GN. Treatment and prognosis of Colles’ fracture. Lancet 1963;1:511-5.
7-Bacorn RW, KurtkZeJF. Colles’ fracture : a study of two thousand cases from the New York State Workman’s Compensation Board. IBone Joint Surg (Am] 1953;35-A:643-58.
8-Gartland JJ Jr, Werley CW Evaluation of healed Colles’ fractures. I Bone Joint Surg [Am] 1951 ;33-A:895-907.
9-Golden GN. Treatment and prognosis of Colles’ fracture. Lancet 1963;i:51 1-5.
10-Pool C. Colles’ fracture: a prospective study of treatment. I Bone Joint Surg [Br] 1973;55-B:540-4.
11-Sarmiento A, Pratt GW, Berry NC, Sinclair WF. Colles’ fractures: functional bracing in supination. I Bone Join: Surg [Am] 1975;57-A :311-7.
12-van der Linden W, Erlcson R. Colles’ fracture : how should its displacement be measured and how should it be immobilized? I Bone Joint Surg [Am] 1981 ;63-A :1285-8.
13-Coosiey WP Ill, Dobyns JH, LInscbeld RL Complications of Colles’ fractures. I Bone Joint Surg (Am] l980;62-A :613-9.
14-Lidstrom A. Fractures of the distal end of the radius: a clinical and statistical study of end results. Ada Orthop ıcand 1959; Suppl 41.
15-Muller ME, Allgower M, Schneider R, Willenegger H. Manual of internalfixation: techniques recommendedby the AO Group. 2nd ed. Berlin etc : Springer-Verlag, 1979.
16-Salter RB, Slmnioiids DF, Malcolm BW, Rumble U, Macmichael D, aemeiits ND. The biological effect ofcontinous passive motion on the healing of full-thickness defects in articular cartilage: anexperimental investigation in the rabbit. J Bone Joint Surg [Am] 1980;62-A:1232-5l.
17-Stewart HD, Innes AR, Burke FD. Functional cast-bracing for Colles’ fractures : a comparison between cast-bracing and conventional plaster casts. J Bone Joint Surg (Br] l984;66-B :749-53.
18-Müller ME. The comprehensive classification of fractures of long bones. In:Müller ME, Allgöwer M, Schneider R, Willenegger H, editors. Manual of internal fixation. 3rd ed. Heidelberg-New York: Springer-Verlag; 1991. p. 134-5.
19-Bilic R, Ruzic L, Zdravkovic V, Boljevic Z, Kovjanic J. Reliability of different methods of determination of radial shortening. Influence of ulnar and palmar tilt. J Hand Surg Br1995;20:97-101.
20-Cooney WP. Management of Colles’ fractures. J Hand Surg Br1989;14:137-9.
21-Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long term results of conservative treatment of fractures of the distal radius. Clin Orthop 1986;(206):202-10.
22-Metz VM, Gilula LA. Imaging techniques for distal radius fractures and related injuries. Orthop Clin North Am 1993;24:217-28.
23-Mann FA, Wilson AJ, Gilula LA. Radiographic evaluation of the wrist: what does the hand surgeon want to know? Radiology 1992;184:15-24.
24-Taleisnik J, Watson HK. Midcarpal instability caused by malunited fractures of the distal radius. J Hand Surg [Am] 1984;9:350-7.
25-Scheck M. Long-term follow-up of treatment of comminuted fractures of the distal end of the radius by
transfixation with Kirschner wires and cast. Am J Orthop 1962;44-A:337-51.
26-Friberg S, LundströmB. Radiographic measurements on the radio-carpal joint in distal radial fractures. Acta Radiol Diagn (Stockh) 1976;17:869-76.
27-Young BT, Rayan GM. Outcome following nonoperative treatment of displaced distal radius fractures in
low-demand patients older than 60 years. J Hand Surg Am2000;25:19-28.
28-Solgaard S. Function after distal radius fracture. Acta Orthop Scand 1988;59:39-42.
29- Boyd LG, Horne JG. The outcome of fractures of the distal radius in young adults. Injury 1988;19:97-100
30-Jenkins NH, Mintowt-Czyz WJ. Mal-union and disfunction in Colles’ fracture. J Hand Surg Br1988;13:291-3.
|How to Cite this Article: Mahapatra N C, Maharaj R C, Khatua J, Nanda D P. | Outcome of Differential period of immobilization (4 weeks Vs 6 weeks ) of Colles’ Type Fractures of the Distal Radius in Geriatric population: A prospective study. | Odisha Journal of Orthopaedics & Trauma | Jan-June 2020; 41(1): 11-16 .|