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

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 [1], Ramesh Chandra Maharaj [1], Jugaratna Khatua [1], Debi Prasad Nanda [1]

[1] Dept Of Orthopedics, SCB Medical College & Hospitals, Cuttack, Odisha India.

Address of Correspondence

Dr. Debi Prasad Nanda,
SCB Medical College & Hospitals, Cuttack, Odisha India
E-mail: drdebiortho@gmail.com


Abstract

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.


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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 .

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