Summary
A randomized clinical study of functional bracing in supination (FUSU) versus dorsal plaster immobilization (DPI) was conducted in 145 patients with Colles' fracture. A dynamic wrist unit was developed and used in 68 patients allocated for FUSU. The anatomical end result after FUSU was excellent or good in 80% of the patients versus 64% after DPI (P<0.05), in particular due to less dorsal angulation (P<0.001) and less radial shortening. The functional recovery was equal after 7 weeks and 3 months. At 6 months, 92% satisfactory results were achieved after FUSU versus 86% after DPI (P<0.05). Both anatomical and functional benefits were recorded in Frykman type V, VI, and VIII fractures and in the group of displaced intra-articular fractures. The functional benefit from FUSU is suggested primarily to be secondary to decreased fracture redislocation.
Zusammenfassung
Es wird über eine randomisierte prospektive Studie von dynamischer Schienenbehandlung in Supination (FUSU) gegenüber konventionellem dorsalen Gipsverband (DPI) bei 145 Colles-Frakturen berichtet. Die anatomischen Behandlungsergebnisse nach FUSU ergaben statistisch bessere Resultate als DPI (P<0.05), insbesondere in Abhängigkeit von geringerer dorsaler Angulation (P<0.001) und geringer radialer Verkürzung. Die funktionellen Behandlungsergebnisse zeigten keinen Unterschied 7 Wochen oder 3 Monate nach den Colles-Frakturen. Nach 6 Monaten wurden die funktionellen Ergebnisse bei 92% der mit FUSU behandelten Patienten als hervorragend oder gut beurteilt (P<0.05). Der Vorteil der FUSU Behandlung zeigte sich besonders bei dislozierten, intraartikulären Frakturtypen.
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Supported by the Danish Medical Research Council grant no. 552-1034 and the Medical Research Council for the counties of Sønderjylland, Ribe and Ringkøbing grant no. 2752/1980
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Bünger, C., Sølund, K. & Rasmussen, P. Early results after colles' fracture: functional bracing in supination vs dorsal plaster immobilization. Arch Orthop Trauma Surg 103, 251–256 (1984). https://doi.org/10.1007/BF00387330
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DOI: https://doi.org/10.1007/BF00387330