A Comparative Study of Management of Colles Fracture by Closed Reduction with Cast versus Closed Reduction with Internal Fixation

Abstract

Background: In this study we did a prospective study in 40 patients with extra articular distal radius fracture treated by both closed reduction with cast and closed reduction internal fixation (PKW/CC screws).

Methods: There were 30 patients with Colles fractures treated by closed reduction with cast and 30 patients treated with closed reduction internal fixation (PKW/CC screws). We compared both the managements together. The functional outcomes and radiological results were compared between the two groups.

Results: Functionally, for CRIF 11 patients had excellent hand function; 4 patients had good results; 11patients had a fair outcome, and 4 patients had poor outcome. Functionally,  for cast immobilization patients 13 patients had poor outcome, 10 patients had fair outcome, 4 patients had good outcome and 3 patients had excellent outcome.

Conclusions: The percutaneous pinning/cc screws and immobilization in neutral position for 3 weeks followed by physiotherapy proved to be better and simple procedure for extra articular non comminuted distal radius fractures.

Keywords: Fracture radius distal 1/3rd, Cast, Pinning, CC screws, Immobilization