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We report the results of a prospective randomised controlled trial of the management of 101 Colles' fractures in patients over the age of 55 years. Within two weeks of initial reduction 43 fractures had displaced with either more than 10 degrees dorsal angulation or more than 5 mm radial shortening. These patients were randomly divided into two groups: 21 were remanipulated and held by an external fixator; in the control group of 22 patients, the redisplacement was accepted and conservative treatment was continued. Patients treated with external fixation had a good anatomical result, but their function was no better than that of the control group. We found no correlation between final anatomical and functional outcome, and concluded that the severity of the original soft-tissue injury and its complications are the major determinants of functional end result.
R M Roumen, and
W L Hesp, and
E D Bruggink
September 1979,
The Journal of bone and joint surgery. American volume,
R M Roumen, and
W L Hesp, and
E D Bruggink
December 2003,
Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand,
R M Roumen, and
W L Hesp, and
E D Bruggink
May 1989,
Journal of hand surgery (Edinburgh, Scotland),
R M Roumen, and
W L Hesp, and
E D Bruggink
May 1997,
The Journal of bone and joint surgery. British volume,
R M Roumen, and
W L Hesp, and
E D Bruggink
April 1989,
Clinical orthopaedics and related research,
R M Roumen, and
W L Hesp, and
E D Bruggink
March 1995,
The Journal of bone and joint surgery. British volume,
R M Roumen, and
W L Hesp, and
E D Bruggink
December 1983,
Acta orthopaedica Scandinavica,
R M Roumen, and
W L Hesp, and
E D Bruggink
July 2022,
Medicine,
R M Roumen, and
W L Hesp, and
E D Bruggink
January 1987,
Archives of orthopaedic and traumatic surgery. Archiv fur orthopadische und Unfall-Chirurgie,
R M Roumen, and
W L Hesp, and
E D Bruggink
January 1989,
Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...,
