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