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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Functional vraktur were comparable to those of younger patients treated with internal fixation. Received Nov Cochrane Database Syst Rev. The cast is applied with the distal fragment in palmar flexion and ulnar deviation.
Fracture displacement in the elderly, however, fraktug not necessarily result in functional impairment. Avulsion fracture Chalkstick fracture Greenstick fracture Open fracture Pathologic fracture Spiral fracture.
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. Distance between a line drawn at the tip of the radial styloid process, perpendicular to the longitudinal axis of the radius g and a second perpendicular line at the level of the distal articular surface of the ulnar head h. Wrist-bridging versus non-bridging external fixation for displaced distal radius fractures: Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years.
On the left a post-operative image of a Salter-Harris II fracture, which is held in place with two pins after closed reduction. Bumper fracture Segond fracture Gosselin fracture Toddler’s fracture Pilon fracture Plafond fracture Tillaux fracture.
Increasing age and fractures of the distal radius. Conservative interventions for treating distal radial fractures in adults. Surgical treatment of redisplaced fractures of the distal radius in patients older than 60 years.
British journal of hospital medicine London, England: These fractures were considered a contraindication to percutaneous pin fixation. The radial inclination ranges between 21 and 25 degrees. Fractures of the distal aspect of the radius: High-powered randomized controlled trials are required to better evaluate the different methods of stabilization in elderly populations. A retrospective comparative review of displaced intra-articular distal radial fractures in patients over 55 years.
The theoretical advantages of internal fixation of distal radius fractures lie not only in achieving anatomical reduction, but also in establishing stable fixation to allow early range of motion and rehabilitation. Bone substitutes may be injected into this void to support the compromised bone. A clinician should have a much higher threshold for intervention in an older patient with an unstable or displaced fracture than in a younger patient.
The final result will be malfunction, radiocarpal and distal radioulnar osteoarthritis. A splint or cast is placed in such a way that the risk of re-displacement is minimized.
Stabilization and treatment of Colles’ fractures in elderly patients
The blue arrow indicates the depressed fragment of the lunate fossa. Description of the fracture characteristics 5 Desciption of the commonly used fracture eponyms Most popular classification systems.
Articles Cases Courses Quiz. A comparative study of nonoperative treatment with volar locking plating in 70 patients aged over 70 years showed significantly better graktur outcomes in the operative treatment arm.
Colles fracture | Radiology Reference Article |
These injuries tend to heal much more quickly than the similar greenstick fractures. They act as a fixed internal buttress transferring the articular loads across the fractured metaphyseal bone to the intact diaphysis see Figure 2.
A volar buttress plate is the treatment of choice. Acceptable functional end results in the majority of the patients despite significant secondary displacement. Diagnosis can be made upon interpretation collez anteroposterior and lateral views alone. Open reduction and palmar plate-osteosynthesis in combination with a nanocrystalline hydroxyapatite spacer in the treatment of comminuted fractures of the distal radius.
A Colles’ fracture is a fracture fraaktur the distal metaphysis of the radius with dorsal angulation and displacement leading to a ‘silver fork deformity’.
Intraarticular fractures either involve the radiocarpal joint, distal radioulnar joint, or both. It should therefore be a functional cast, which should be relatively light and not hinder forearm rotation or finger movements.
The classic Colles fracture has the following characteristics: Infobox medical condition new RTT. Initially, polymethylmethacrylate cement was utilized.
On the left two 3D-reconstructions of the same fracture as above. They are particularly common in patients with osteoporosisand as such, they are most frequently seen in elderly women.
Larsson S, Ftaktur TW. Displacement can be dorsal, volar, radial or proximal. There is no disruption of carpal arc I. Trimalleolar fracture Bimalleolar fracture Pott’s fracture. This cast is known as a Colles cast 4. Three smaller studies of 30 or less patients found satisfactory functional outcomes in a majority of patients even though they had unacceptable radiographic alignment. Open in a separate window.