Colles fractures

Abstract

Fractures of the distal radius, commonly referred to as Colles fractures, are among the most common fracture diagnosed by orthopedists. Nevertheless, the literature provides little consensus on management. While there have been numerous studies devoted to the management of Colles fracture the literature is complicated by the multitude of classifications, the diversity of injuries included within studies, and lack of head-to-head trials of treatment modalities. Many Colles fractures can still be adequately treated with closed reduction and immobilizaiton, but they should be monitored closely for loss of reduction and malunion. Pins are useful in stabilizing minimally comminuted fractures. External fixation, especially nonbridging external fixation works well for regaining length and in combination with an additional pin is a very stable construct. Internal fixators are becoming more advanced. Colles fractures are fraught with complications, but with improved fixation techiniques that allow early mobilization patient outcomes will improve.