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.
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External fixation of fractures of the distal radius has been in use since the s. J Hand Surg Br. Articles Cases Courses Quiz. Lisfranc Jones March Calcaneal. Displacement of the fragment is uncommon. Smith’s fractures occur in younger patients and are the result of high energy trauma on the volar flexed wrist. Fractures of the distal end of radius in elderly patients: Based on basic science and clincal studies some of the recommendations of the International Distal Radius Fracture Study Group are presented in the table on the left, although these recommendations are still the subject of ongoing debate 5.
There are two main techniques of external fixation: This led the authors to conclude there was little benefit to closed reduction in the very old and frail, dependent or demented patient.
Stabilization and treatment of Colles’ fractures in elderly patients
Early mobilization has been shown to hasten recovery in a randomized prospective trial coloes patients aged over of 55 years. A randomized trial of nasal spray salmon calcitonin in postmenopausal women with established osteoporosis: Associated traumatic lesions are ligamentous rupture, nerve compression and compartment syndrome.
On the left a fracture of the ulnar styloid process not visible on standard radiography, but clearly demonstrated with MR.
Open reduction and palmar plate-osteosynthesis in combination with a nanocrystalline hydroxyapatite spacer in the treatment of comminuted fractures of the distal radius. On the left a detailed AP view of the same patient as above.
Radiographic measures of outcome in distal radius fractures. Volar buttress plate Barton’s fractures are rarely successfully treated with closed reduction due to the shearing nature of the injury.
Up to 2 mm is acceptable. A splint or cast is placed in such a way fraktr the risk of re-displacement is minimized. Redislocation is common after closed reduction. Recovery over 1 to 2 years . Fracture of the distal radius.
Volar plates were used with screws to lock the dorsal rim.
A prospective, randomized study compared the outcome of conservative treatment with that using an osteoconductive synthetic material on patients aged over 50 years with fractures of the distal radius. The proximal row fraotur the carpus particularly the lunate and scaphoid transfer energy to the distal radius, both in the dorsal direction and along the long axis of the radius.
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Bone substitutes In elderly patients with osteoporosis, it is often difficult to fill the void left by impacted metaphyseal bone. A more recent retrospective trial of 46 consecutive patients aged over 65 years compared functional outcomes in patients treated with external fixation with those treated with conservative management.
External fixation was used to lengthen the radius. There are many ways to describe distal radial fractures and there are several classification systems.
More than 2 mm incongruity of articular surface is the most important factor in the development of posttraumatic osteoarthritis of the wrist. A die-punch fracture is a depression fracture of the lunate fossa of the distal radius. Clin Orthop Relat Res. A fracture with mild angulation and displacement may require closed reduction.
Ring D, Jupiter JB. Ulna and Distal radioulnar joint DRUJ Assessment of a wrist fracture must also include a frkatur of the distal ulna and distal radioulnar joint 9.
Angle between a line perpendicular to the longitudinal axis of the radius i and a line joining the distal tip of the radial styloid and the distal sigmoid notch j. A change of 10 degrees rotation between two consecutive control lateral radiographs is not uncommon during clinical follow-up and results in 5 degrees change in apparent tilt.
Wrist – Fractures
A prospective randomized trial. In many cases they need percutaneous pinning. The cast extends from below the elbow to the metacarpal heads and holds the wrist somewhat flexed and in ulnar deviation 4 – for those of you familiar with Australian rules football; this position is reminiscent of the position adopted when holding a ball in preparation for a kick.
The theoretical advantages of internal fixation of distal radius fractures lie not only in achieving anatomical reduction, but also fgaktur establishing stable fixation to allow early range of motion and rehabilitation.
Use of an external fixation combined with the buttress-maintain pinning method in treating comminuted distal radius fractures in osteoporotic patients. The fracture fragment of the lunate fossa was replaced and fixated with a screw. Because children have softer bones, one side of the bone may buckle.
There were six plates removed due to dorsal wrist pain — a relatively high collse of complications. A xolles of studies have looked at predictors of instability in distal radius fractures treated conservatively.
Outcome of distal radial fractures in young adults. Comminuted fractures of the distal end of the radius. Dorsal angulation of the distal fracture fragment is present to a variable degree as opposed to volar angulation of a Smith fracture.
Distance between a line drawn at the tip of the radial styloid process, perpendicular to the longitudinal axis of the radius fraktr and a second perpendicular line at the level of the distal articular surface of the ulnar head h. Notice the articular step-off. On the left a sagittal reconstruction of an oblique intraarticular fracture of the distal radius.