This work presents the results of 100 consecutive cases of Colles' fracture treated by functional cast bracing in supination as advised by Sarmiento and colleagues, using locally made metallic hinge, followed up for 18 weeks. The results have been compared with those obtained by other authors using functional cast bracing and also other conventional conservative methods including percutaneous pinning. There is a wide variation in the results obtained by various authors using different techniques, but on the whole, our results with functional cast bracing in supination have been among the best in any published series. Ann Saudi Med 1994;14(1):37-41. GA Hagroo, TS Sethi, Role of Functional Cast Bracing in The Treatment of Colles' Fracture. 1994; 14(1): 37-41 In the management of Colles' fracture, the technique of immobilization, extent of the plaster, and the position of the hand and the forearm in plaster have been the points of controversy for decades among orthopedic surgeons. Some surgeons immobilize with the wrist in flexion in a below-the-elbow cast, 1-3 while others have used extreme pronation and right angle flexion and ulnar deviation of the wrist in the treatment of this fracture, i.e., cotton-loder position.4,5 Some surgeons have used above-the-elbow cast with the forearm fully pronated in an attempt to prevent recurrence of supination deformity. 6,7 Many advocate immobilization with the forearm in supination. [8][9][10] The value of early mobilization in the treatment of Colles' fracture has been emphasized by several surgeons 3,4,8,10 although some of the investigators have used functional cast bracing in supination with encouraging results. [8][9][10] On the contrary, in 1984G, Stewart et al, in a comparative study, found no anatomical or functional advantage with functional cast bracing over conventional casts.11 Functional cast bracing permits freedom of motion of all joints during the reparative process, thus reducing the sequelae of prolonged immobilization. The brachioradialis muscle (a powerful elbow flexor with the forearm in neutral or pronation and the only muscle attached to the distal radial fragment) becomes a deforming force in pronation and is probably the main reason for the common and rapid recurrence of original deformity; on the other hand, in supination the brachioradialis loses its strength and the biceps becomes the main flexor of the elbow. 12To find the efficacy of functional cast bracing in supination in the treatment of Colles' fracture, we evaluated the results of this type of treatment using locally made metallic hinge and compared these with those of conventional methods of treatment. Material and MethodsThis study was conducted on 100 consecutive patients with Colles' fracture following fresh trauma, who attended the Governmental Hospital for Bone and Joint Surgery, Srinagar Kashmir, India from October 1985G to January 1987G. Patients with bilateral Colles' fracture, generalized joint disease, and with associated injury of any other part of the body were excluded fr...
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