Older type IV colles fractures treated with intramedullary insertion of a Rush pin

Forty-four patients with 46 Older type IV Colles fractures, who had been treated with intramedullary insertion of a Rush pin were examined after a mean period of 16 months. At follow-up 28 (64%) of the patients had little or no pain, and four (9%) had pain almost all the time. Compared with the oppo...

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Bibliographic Details
Published inScandinavian journal of plastic and reconstructive surgery and hand surgery Vol. 27; no. 1; p. 67
Main Authors Moustgaard Knudsen, H, Lindblad, B E, Søndergaard Mikkelsen, S
Format Journal Article
LanguageEnglish
Published England 1993
Subjects
Aged
Bone Nails
Colles' Fracture - classification
Colles' Fracture - epidemiology
Colles' Fracture - surgery
Female
Follow-Up Studies
Fracture Fixation, Intramedullary
Humans
Male
Time Factors
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Summary:Forty-four patients with 46 Older type IV Colles fractures, who had been treated with intramedullary insertion of a Rush pin were examined after a mean period of 16 months. At follow-up 28 (64%) of the patients had little or no pain, and four (9%) had pain almost all the time. Compared with the opposite side the median grip strength was 76%, flexion/extension was 81%, supination/pronation was 88%, and ulnar/radial movement was 73%. Three patients developed complications. The anatomical result was good or acceptable in 41 patients (93%) and poor in three (7%). According to Lucas and Sachtjen's modification of the Samiento scoring system the final results were excellent or good in 38 (86%) of the patients and fair in 5 (11%); in only one case was the result poor. The results are comparable with other methods of operative fixation. The procedure is relatively simple, and the complication rate is low.
ISSN:0284-4311
DOI:10.3109/02844319309080294