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November 30, 1935


Author Affiliations


From the Department of Bone and Joint Surgery, Lahey Clinic.

JAMA. 1935;105(22):1753-1758. doi:10.1001/jama.1935.02760480023006

The treatment of uncomplicated Colles' fracture is now well recognized. While the methods employed by different operators reveal many variations in procedure, the underlying principles are quite similar. However, in comminuted Colles' fracture, especially when occurring in elderly patients, it is believed that the results can be greatly improved, particularly by longer splintage than is usually employed, and also by attention to certain details as herein described. In a previous communication a method of treatment for this fracture was presented with particular emphasis on the duration of splintage, which in these older patients averaged six weeks as compared with a total of from two to three weeks for similar injuries in younger adults.

The present paper is a report of the results obtained in the treatment of thirty elderly patients, aged from 58 to 70, with comminuted Colles' fracture. To illustrate the significance of prolonged splintage, properly applied, as well