J Bone Joint Surg Br
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J Bone Joint Surg Br · Jan 1989
Randomized Controlled Trial Comparative Study Clinical TrialExternal fixation or plaster for severely displaced comminuted Colles' fractures? A prospective study of anatomical and functional results.
We report a prospective, randomised, controlled trial of 50 severely displaced comminuted Colles' fractures treated by either external fixation or manipulation and plaster. Each patient was assessed radiographically throughout treatment, and functionally by an independent observer at three and six months. ⋯ This resulted in significantly improved function especially in young patients, and also a lower complication rate. We recommend the use of external fixation for young patients with comminuted displaced Colles' fractures unless manipulation and plaster show excellent reduction.
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Sixty patients underwent arthroscopy of the knee as day cases using a local anaesthetic technique. This provided satisfactory operating conditions and high patient acceptability.