FRAKTUR COLLES PDF
FRAKTUR COLLES – Download as Powerpoint Presentation .ppt), PDF File .pdf ), Text File .txt) or view presentation slides online. fr. colles. The Irish surgeon Abraham Colles described DRFs in the volume of the Edinburgh Medical Surgical Journal. Although his description. lokasi fraktur yang paling umum adalah di tangan dan melibatkan bagian distal dari tulang radius, bernama Fraktur Colles. Fraktur Colles adalah fraktur pada.
|Published (Last):||9 February 2012|
|PDF File Size:||9.47 Mb|
|ePub File Size:||16.62 Mb|
|Price:||Free* [*Free Regsitration Required]|
These fractures were considered a contraindication to percutaneous pin fixation. That is not to say that we should accept poor reduction in all patients over a certain age.
There is good evidence that inadequate anatomic reduction of distal radius fractures in a young patient population corresponds to poor functional outcomes. A biomechanical comparison of different wrist external fixators with and without K-wire augmentation. Risks specific to cast treatment relate to the potential for compression of the swollen arm causing compartment syndrome or carpal tunnel syndrome.
Duverney fracture Pipkin fracture. As can be seen from the studies in this review, there remains no absolute consensus on the best method for treatment of distal radius fractures in the elderly. External fixation was used to lengthen the radius. Associated traumatic lesions are ligamentous rupture, nerve compression and compartment syndrome. Fractures of the distal radius in low-demand elderly patients: Acceptable functional end results in the majority of the patients despite significant secondary displacement.
After closed reduction and at follow up after one week, there is an acceptable tilt.
Radiologic and patient-reported functional outcomes in an elderly cohort with conservatively treated distal radius fractures. In a study involving women aged over 50 years, who suffered distal radius fractures from low-energy trauma, measures of fracture displacement were compared with bone mineral density.
Colles’ fracture – Wikipedia
Other studies have shown that these bone substitutes may be better used as an adjunct to other forms of fixation rather than in isolation. An isolated fracture of the radial styloid process is also called a Hutchinson’s or chauffeur’s fracture.
Torus fracture Torus fractures, or buckle fractures, are extremely common injuries in children. In the elderly with unstable osteoporotic fractures, where cast immobilization is not being relied upon to control alignment, the primary role of the cast is for comfort and support. We will discuss the following: More recently, the development of bone mineral substitutes promises better integration into the osseous matrix as well as providing similar mechanical properties to oclles bone.
These fractures have a great tendency for redislocation and malunion. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. Retrieved 12 October A cohort of 60 unstable distal radius fractures in patients with dementia or multiple medical comorbidities was treated by closed fratkur and cast immobilization.
There are two main techniques of external fixation: At one extreme a stable, undisplaced extra-articular fracture has an excellent prognosis. In reference 6 a link is provided to download the illustrations of the Muller AO Classification of Fractures. Intraarticular fractures either involve the radiocarpal joint, distal radioulnar joint, or both.
Stabilization and treatment of Colles’ fractures in elderly patients
Because children have softer bones, one side of the ffaktur may buckle. This view is supported by a prospective, randomized trial comparing percutaneous pinning with conservative treatment in 57 patients aged over 60 years with unstable, extra-articular fractures of the distal radius. Stability assessment of distal radius fractures. This has been highlighted by a study which looked at Medicare data in the United States for distal radius fractures in the elderly.
Eighteen patients aged over 60 years in another retrospective series were treated with open reduction and internal fixation. On the left sagittal reconstructions of 1mm axial CT slices. Volar buttress plate Barton’s fractures are rarely successfully treated with closed reduction due to the shearing nature of the injury. This classification is popular, since it addresses the mechanism of injury and the consequent treatment options. These trials were not specific to an elderly col,es.
One technique to prevent fracture displacement is to use percutaneous pinning as an augmentation to external fixation. Complications associated with plating include tendon irritation or rfaktur and the need for plate removal.
This did not correlate with an improved functional outcome. High-intensity strength training in nonagenarians: After closed reduction the position of the dorsal rim is better, but this still is an unstable situation.
X-rays are taken to ensure that the reduction was successful. Radiographic signs that favor instability are displacement and an oblique or comminuted configuration as mentioned above. Check for errors and try again. Repeat Xrays are recommended at one, two, and six weeks to verify proper healing. Colles’ fracture A Colles’ fracture is a fracture of the distal metaphysis of the radius with dorsal angulation and displacement leading to a ‘silver fork deformity’.
Fractures are either displaced or nondisplaced. They were compared to a cohort of patients younger than 60 years treated with the same method, and there was no statistical difference in radiographic or functional outcomes. On the left a fracture of the ulnar styloid process not visible on standard radiography, but clearly demonstrated with MR. Reflex sympathetic dystrophy and median nerve injury are uncommon complications.
On the left a patient with an intraarticular fracture with dorsal tilt i. Outcome frsktur distal radial fractures in young adults. The relationship between Colles fractures and osteoporosis is strong enough that when an older male patient presents with a Colles fracture, he should be investigated for osteoporosis because his risk of a hip fracture is also elevated 1.
In addition to noting the presence of a fracture a number of features should be sought and commented upon:. This review looks at the current literature on distal radius fractures in the elderly and the treatment options for stabilization of these fractures.