Active wrist motion averaged 54 degrees extension (82% as compared with the uninjured side) and 46 degrees flexion (72% as compared with the uninjured side). The modified Green and O'Brien Score revealed 31 excellent, 54 good, 23 fair, and 6 poor results. Fractures were classified according to the AO/ASIF classification system as type A2 (n = 39), A3 (n = 16), C1 (n = 24), C2 (n = 30), or C3 (n = 5). In the 114 patients followed for a minimum of 12 months, there were 21 men and 93 women with a mean age of 57 years (17 to 79 years). Potentials for complications were given special attention. In a follow-up period, which had to be longer than 12 months, objective and subjective functional results (active range of motion strength Disabilities of the Arm, Shoulder, and Hand (DASH) score visual analog scale (VAS) Green and O'Brien Score) and radiographic assessment (palmar tilt, radial inclination, ulnar variance, fracture union) were assessed. Indication for surgical treatment was the inability to obtain or maintain fracture or articular alignment after initial closed reduction. Open reduction and palmar internal fixation with a fixed-angle plate (2.4 mm LCP Distal Radius Plates Synthes, Salzburg, Austria). Over a mean 15-month period (range, 12 to 27 months), 141 consecutive patients were treated for an unstable dorsally displaced distal radius fracture of which 114 or 81% were followed for 1 year or longer. Prospective protocol multicenter clinical study retrospective analysis. Our goal was to analyze the clinical and radiological outcomes of patients with displaced, unstable distal radius fractures treated with a palmar fixed-angle plate. It will help protect your wrist if you fall.The increasing number of fixed-angle plate systems used to treat distal radius fractures carries with it the problem of determining the optimal fixation for unstable fractures. Wear a wrist guard if you do activities that raise your risk of getting a Colles’ wrist fracture. Strength training routines, which include exercises like weightlifting, target the muscles and bones in the upper half of your body. Weight-bearing exercises such as jogging strengthen the bones and muscles in the lower half of your body. ExerciseĮxercise helps strengthen your bones and muscles, which makes you less likely to fall and fracture a bone. You can take supplements if you can’t get enough from sunlight and your diet. Eating foods that contain vitamin D, such as salmon, can help you get the amount you need. You may need additional vitamin D if you don’t go outside much or if you use sunscreen every time you’re in the sun. You can get enough vitamin D from sunlight. If your diet isn’t giving you enough calcium, you can make up for it by taking calcium supplements. Make sure you’re getting enough calcium by eating dark, leafy green vegetables and low-fat dairy products fortified with calcium. Preventing a Colles’ wrist fracture Nutrition You’ll do exercises to help rebuild strength in your wrist and regain your normal range of motion. Physical therapyĭepending on the severity of your injury, you might have to work with a physical therapist or occupational therapist. After surgery, you may need to wear a splint or cast to immobilize your wrist and help with pain relief. Your bones will be straightened and held together using pins, a plate and screws, or an external device that holds the pins in place. If your wrist is severely fractured, your doctor will recommend surgery to correct it. In most cases, the cast is taken off after a few weeks. This procedure, called a reduction, is done before your wrist is put in the cast. They may need to straighten the bone if the fracture is displaced. If your fracture isn’t serious, your doctor might place your wrist in a lightweight cast or splint and let it heal. Go straight to the emergency room if the pain is severe or if your wrist is numb. Schedule an appointment with your doctor immediately, or go to an urgent care center for medical treatment. Over-the-counter medications such as acetaminophen and ibuprofen can help relieve pain.ĭon’t try to straighten your wrist, and avoid moving it around. Putting an ice pack on the injury also helps reduce swelling. Elevate your wrist above the level of your heart to prevent further swelling. You can simply use a magazine wrapped around your wrist to help support it. The most important treatment initially is immobilizing your wrist in a splint.
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