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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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Surgical treatment of redisplaced fractures of the distal radius in patients older than 60 years.

The fracture fragment of the lunate fossa was replaced and col,es with a screw. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Most fractures are therefore dorsally angulated and impacted.

Colles’ fracture

The main complication of external fixation is pin-tract infection. Volar comminution and intraarticular extension are more common. Comminuted fractures of the distal end of the radius. Intraarticular fractures either involve the radiocarpal joint, distal radioulnar joint, or both. N Engl J Med. D ICD – There can be associated injury to the scapholunate ligament. On the left a patient with a communitive intraarticular fracture of the distal radius with displacement of the volar rim of the radius together with the carpus i.

Distal radius fractures in the elderly are often a result of osteoporosis. A comparative study of clinical and radiologic outcomes of unstable Colles type distal radius fractures in patients older than 70 years: A Colles’ fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards.


Stability assessment of distal radius fractures. Malunion Non-union is uncommon in distal radial fractures, since there is excellent vascularisation of this region. There are two main techniques of external fixation: These are shear type fractures of the distal articular surface of the radius with translation of the distal radial fragment and the carpus.

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.

A smaller series looked at 16 women aged over 55 years with intra-articular distal radius fractures treated with external fixation.

Displacement can be dorsal, volar, radial or proximal. Displacement Fractures are either displaced or nondisplaced. In an active, healthy patient with an unstable fracture, an attempt at anatomic reduction and fixation through surgical means is more likely to collex good functional results.

Cervical fracture Jefferson fracture Hangman’s fracture Flexion teardrop fracture Clay-shoveler fracture Burst fracture Compression fracture Chance fracture Holdsworth fracture.

Stabilization and treatment of Colles’ fractures in elderly patients

Redislocation is common after closed reduction. Plain films usually suffice, although if there is a concern of intra-articular extension, then CT may be beneficial. Complications in the bone substitute group included extraosseous cement collse causing discomfort in 30 patients and one case of intra-articular cement requiring surgical removal. One technique to prevent fracture displacement is to use percutaneous pinning as an augmentation to external frzktur.


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. This trend toward increased operative intervention is supported by studies examining functional outcomes in the elderly following surgery. Non-union is uncommon in distal radial craktur, since there is excellent vascularisation of this region.

Journal List Clin Interv Aging v. The extensor carpi ulnaris tendon groove should be at the level of or radial to the base of the ulnar styloid. The proximal row of the carpus particularly the lunate and scaphoid transfer energy to the distal radius, both in the dorsal direction and along frakktur long axis of the radius. The cast is applied with the distal fragment in palmar flexion and ulnar deviation. Three smaller studies of 30 or less patients found satisfactory functional outcomes in a majority of patients even though they had unacceptable radiographic alignment.

An isolated fracture of the tip is clinically insignificant. Green stick frzktur These are partial fractures, since only one part of the bone is broken and the other side is bent.