Comminuted Displaced Colles' Fractures: Treatment with Intramedullary Methylmethacrylate Stabilisation

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Abstract
Four women aged 87, 77, 74 and 69 yr with severely comminuted, displaced and intraarticular Colles'' fractures of the dominant hand, where conservative treatment had failed, were treated by use of intramedullary methylmethacrylate stabilization to retain optimal anatomical position of the fracture. The patients were followed by serial clinical, radiological and 99Tc-scintimetrical examinations for at least 1 yr. Normal mobility of the wrist and power of the grip was obtained within 6 wk postsurgery in all patients. Radiological cortical bone healing occurred within normal time and scintimetrically the fractures were healed within 6 wk. No secondary displacement of the fractures occurred. This method might be considered in the treatment of certain severely comminuted and unstable Colles'' fractures since it seems to offer a quick rehabilitation and no late problems.

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