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Evidence summaries

Remanipulating Colles' Fracture

Remanipulating Colles´ fracture may improve the dorsal angulation in patients under 60 years of age but not in those over 60. Level of evidence: "C"

Several clinical surgical studies (1 , 2, 3) have studied the results of remanipulating Colles' fractures that have redisplaced after primary reduction. In those over 60 years old, remanipulation seems to fail to achieve a lasting improvement in position, while the majority of those under 60 years maintain a significant improvement in dorsal angulation.

    References

    • McQueen MM, MacLaren A, Chalmers J. The value of remanipulating Colles' fractures. J Bone Joint Surg Br 1986 Mar;68(2):232-3. [PubMed]
    • Collert S, Isacson J. Management of redislocated Colles' fractures. Clin Orthop Relat Res 1978 Sep;(135):183-6. [PubMed]
    • Mikkelsen SS, Lindblad BE. The value of late remanipulation and nonrigid fixation of redislocated Colles' fracture: a retrospective study. Contemp Orthop 1991 Dec;23(6):588-93. [PubMed]

Primary/Secondary Keywords