Orthopedics 130 Colles fracture Dorsal tilt Complications Dinner fork deformity Darrack Sudeck

0:00 Colles fracture
12:55 Treatment
Below elbow cast
If displaced, Manipulative reduction
Transfixed percutaenously using two wires
locking compression plate
Colles cast - elbow not immobilized, plantar flexion, ulnar deviation
(not in functional position)
Use fibre glass so radiolucent
22:00 Complications of Colle's fracture
Stiffness of joints
Malunion – dinner fork deformity (cosmetic)
Subluxation of the inferior radio-ulnar joint, Shortening of radius
Treat by excision of the lower end of the ulna Darrach's resection
Carpal tunnel compression of median nerve
Sudeck’s osteodystrophy in upper limb - When Remove cast - Pain, sympathetic overactivity, inflammation
Rupture of extensor pollicis longus tendon
28:25 Revision