Aberdeen Colles’ fracture brace as a treatment for Colles’ fracture

Tumia, Nezar; Wardlaw, Douglas; Hallett, J.P.; Deutman, R; Mattsson, Sven Erik; Sandén, Bengt

doi:10.1302/0301-620x.85b1.12468

Cited by 39 publications

(8 citation statements)

References 18 publications

(22 reference statements)

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“…A Cochrane review on non-operative interventions found no conclusive evidence for the superiority of any immobilisation method in distal radius fractures [ 14 ]. The Aberdeen Colle’s fracture brace is based on three-point fixation and good clinical results has been published [ 15 ]. Although insufficient stability was not mentioned as a motivation for abandoning further development, a patent application combining functional bracing with K-wires suggests that stability might have been a problem [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of dorsally dislocated distal radius fractures with individualized 3D printed bracing: an exploratory study

et al. 2020

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Background: The aim of this work was to develop a three-dimensionally (3D) printed brace for the acute treatment of dorsally dislocated and correctly reduced distal radius fractures (DRF). The hypothesis was that a brace shaped to the mirror image of the contralateral (non-fractured) wrist will have an optimal anatomical fit, resulting in improved comfort and lower rates of secondary fracture displacement. Method: Validation: the circumference of both wrists and comfort of the brace were studied in healthy volunteers and effectiveness of the brace was evaluated in an ex vivo fracture model. Clinical study: the brace was tested for comfort and effectiveness in patients with a well reduced unstable DRF. Results: Validation: the circumference of both wrists may be different, the brace retained the reduction in the ex vivo fracture model and was well tolerated in the volunteers. Clinical study: in DRF patients comfort scores were lower and pain scores higher compared to the healthy volunteers. After 3 and 5 weeks all patients were independent in ADL according to the Katz-index. Posttraumatic swelling subsided in the first week. In two of the five patients secondary fracture dislocation occurred. Conclusions: Treatment of a dislocated DRF in the acute setting (day one) with a custom-made 3D printed brace, anatomically modelled from a 3D scan of the contralateral wrist, is possible. Difference between both wrists and posttraumatic swelling must be adapted for. The high rate of secondary fracture displacement led to early discontinuation of the study and a small sample size.

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Section: Discussionmentioning

confidence: 99%

Treatment of dorsally dislocated distal radius fractures with individualized 3D printed bracing: an exploratory study

et al. 2020

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“…The hydroxyapatite-coated wedges of 5, 7.5 or 10 mm sizes are placed in the open wedge and two plates are used for fixation. [39]. …”

Section: Historical Perspectivementioning

confidence: 99%

Proximal tibial osteotomies for the medial compartment arthrosis of the knee: a historical journey

Esenkaya¹,

Unay²,

Akan³

2012

Strategies in Trauma and Limb Reconstruction

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Several proximal tibial osteotomy techniques for the medial compartment arthrosis of the knee are described and traced in their development. These techniques are of the closed wedge, dome and open wedge types. We detail the differences in planning and surgery as well the need for different fixation devices. This historical and technical description will benefit those surgeons wishing to undertake the procedure as an alternative to joint replacement strategies.

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“…More recently in 1987, Hernigou et al reported their findings from a long-term follow-up of spontaneous osteonecrosis of the knee (SONK) patients who had undergone OWHTO [7]. There are different methodologies and implants that can be used in OWHTO and Koshino et al have described the use of hydroxyapatite wedges in the osteotomy gap [8]. The principal advantages of OWHTO include maintenance of the bone stock, correction of the deformity close to its origin, and no requirement for a fibular osteotomy [6,9].…”

Section: Introductionmentioning

confidence: 99%

A mid term comparison of open wedge high tibial osteotomy vs unicompartmental knee arthroplasty for medial compartment osteoarthritis of the knee

et al. 2010

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BackgroundThe choice of surgical treatments for unicompartmental osteoarthritis (OA) of the knee is still somewhat controversial. Midterm results from cases treated using unicompartmental knee arthroplasty (UKA) or open wedge high tibial osteotomy (OWHTO) were evaluated retrospectively.MethodsTwenty-seven knees of 24 patients with varus deformities underwent OWHTO and 30 knees of 18 patients underwent UKA surgeries for the treatment of medial compartmental osteoarthritis (OA). The KSS score, FTA, range of motion and complications were evaluated before and after surgery.ResultsThe preoperative mean KSS scores were 49 points in the OWHTO group and 62 in the UKA group which improved postoperatively to 89 (excellent; 19 knees, good; 8 knees), and 88 (excellent; 25, good; 4, fair; 1), respectively. There was no significant difference between the OWHTO and UKA scores. Seventeen patients in the OWHTO group could sit comfortably in the formal Japanese style after surgery. The preoperative mean FTA values for the OWHTO and UKA groups were 182 degrees and 184, and at follow-up measured 169 and 170, respectively. In the UKA group, the femoral component and the polyethylene insertion in one patient was exchanged at 5 years post-surgery and revision TKAs were performed in 2 cases. In the OWHTO group, one tibial plateau fracture and one subcutaneous tissue infection were noted.ConclusionsTreatment options should be carefully considered for each OA patient in accordance with their activity levels, grade of advanced OA, age, and range of motion of the knee. OWHTO shows an improved indication for active patients with a good range of motion of the knee.

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Aberdeen Colles’ fracture brace as a treatment for Colles’ fracture

Cited by 39 publications

References 18 publications

Treatment of dorsally dislocated distal radius fractures with individualized 3D printed bracing: an exploratory study

Treatment of dorsally dislocated distal radius fractures with individualized 3D printed bracing: an exploratory study

Proximal tibial osteotomies for the medial compartment arthrosis of the knee: a historical journey

A mid term comparison of open wedge high tibial osteotomy vs unicompartmental knee arthroplasty for medial compartment osteoarthritis of the knee

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