The outcome of closed reduction and cast immobilization of colle's fractures using radiological parameters in the emergency department | [Journal of Ayub Medical College • 2020]

Author(s):

1. Muhammad Shahbaz Raza: Department of Orthopaedic Surgery Sheikh Khalifa Bin Zahid /CMH Hospital Muzaffarabad-Azad Kashmir, Pakistan

2. Shaukat Hayat Khan: Department of Orthopaedic Surgery Sheikh Khalifa Bin Zahid /CMH Hospital Muzaffarabad-Azad Kashmir, Pakistan

3. Iffat Ara: Department of Orthopaedic Surgery Sheikh Khalifa Bin Zahid /CMH Hospital Muzaffarabad-Azad Kashmir, Pakistan

4. Azmat Ali: Department of Orthopaedic Surgery Sheikh Khalifa Bin Zahid /CMH Hospital Muzaffarabad-Azad Kashmir, Pakistan

5. Khalid Mahmood: Department of Orthopaedic Surgery Sheikh Khalifa Bin Zahid /CMH Hospital Muzaffarabad-Azad Kashmir, Pakistan

6. Rehan Wani: Department of Orthopaedic Surgery Sheikh Khalifa Bin Zahid /CMH Hospital Muzaffarabad-Azad Kashmir, Pakistan

Abstract:

Background: Distal radius fractures account for most of the injuries presenting in trauma centers. Colle's fractures are defined as fractures within 2.5 cm of the wrist with dorsal angulation of the distal fragment. The cornerstone of treatment remains immobilization of the wrist in a cast. The objective of the study was to determine the outcome of closed reduction and plaster cast immobilization of Colle's fractures in adults using Radiological parameters. It was a descriptive case series study, conducted at the Department of Orthopaedics Sheikh Khalifa Bin Zayed Al Nahyan /CMH Muzaffarabad Azad Kashmir from June 2018 to June 2019. Methods: Patients with distal radius fractures fulfilling the criteria of Colle's fractures presenting in the Emergency Department were selected through non-probability consecutive sampling. They were managed as per stated protocols and followed up for 06 months. Results: A total of 106 patients of either gender were included in this study. The average age of patients was 30.36±4.12. Fall on an outstretched hand is the major cause of Colle's fracture. In the older age group, most of the fractures are caused by falls while trauma was responsible for the younger age group. Normal post reduction radial inclination was seen in 72% cases; dorsal angulation was normal in 75% while post reduction height was normal in 91% cases. Post reduction radiological parameters were excellent in 49% and good results were seen in 40%. Poor post reduction anatomical results were found in 11% of cases. Overall, the Stewart Anatomical score was 84/100 (p<0.01). Conclusion: A large majority of Colle's fractures achieved excellent Radiological results after treatment by closed reduction and cast immobilization.

Page(s): 441-444

DOI: DOI not available

Published: Journal: Journal of Ayub Medical College, Volume: 32, Issue: 4, Year: 2020

Keywords:

closed reduction , Colles Fracture , Cast immobilization , Radiological parameters

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