Though plaster is the traditional material used, padded fiberglass and preformed plastic splints are common.īackground Distal radius fractures account for almost one-sixth of all fractures in a casualty setting. Splinting can be the definitive treatment or temporary treatment before casting. Splints can also be easily removed for wound care. Splints may be used for comfort as a temporizing measure for wrist and hand dislocations or fracture subluxations while awaiting definitive care. Splints differ from casts in that the non-circumferential bandage allows for some degree of swelling without undue constriction. It improves patient comfort, facilitates recovery, and protects from further injury. Splinting is an adjunct to elevation and ice. Other examples of conditions amenable to volar splinting include acute gouty arthritis, carpal tunnel syndrome, and radial nerve palsy. For more proximal shaft fractures, the principle of volar splinting expands into sugar tong or Muenster-type splinting, extending above the elbow. The exceptions to this rule are metaphyseal, such as Colles or Smith fractures which effectively act like injuries within the joint. The basic guideline regarding splinting of skeletal lesions is that it must immobilize a joint above and a joint below the lesion. Examples of hard tissue skeletal injuries include distal radius fracture, Colles fractures, and metacarpal and carpal fractures (except the first metacarpal and trapezius). The technique of volar splinting of the upper extremity can be used to immobilize hard and soft tissue injuries as well as painful non-traumatic conditions. This guarantees a fewer social cost and a best management of post-operative physiotherapy. Tramadol and Dexketoprofen provide a good clinical result, less side effects and a better functional recovery of the wrist motion. Associations of different painkillers are common, even if a general agreement on the most effective combination is still missing. In fact, in the group B motion was better compared to group A (p<0.05) for any movement examined (flexion, extension, pronation, supination) until the last follow-up (70 days). The pharma blending of Tramadol 75 mg and Dexketoprofen 25 mg resulted effective for the rapid recovery of the treated wrist motion. 121 patients were included in the present study. Outcomes were the functionality of the affected wrist through AROM assessment and the evaluation of painkillers intake, pain itself and Quick-DASH. In this study, two different medical treatments were recognized, and groups consequently set (Group A: Ketoprofene 100 mg twice a day for 5 days, 59 patients Group B: Tramadol 75 mg and Dexketoprofen 25 mg, 62 patients). The present investigation represents a one center retrospective analysis. The present study describes the clinical outcome in patients who underwent surgery for Colles fracture using ES fixation osteosynthesis. A general agreement on the best pharmacological treatment in the post-operative is still missing. Often DRFs required surgical treatment based on instability of the fragments and due to the high functional demand from patients. In the present study, we review the epidemiology of Colles' fractures in the Italian population, the burden of the disease on the national health care system (in terms of length of hospitalization) and the distribution of the main surgical procedures performed for the treatment of the disease.ĭistal Radius Fractures (DRFs) represent one of the most common elderly patient's fractures. The main number of surgeries was found in the 65-69- and 70-74-year age groups. From 2001 to 2016, 120,932 procedures for Colles' fracture were performed in Italy, which represented an incidence of 14.8 procedures for every 100,000 adult Italian inhabitants. Data are anonymous and include the patient's age, sex, domicile, length of hospital stays (days), primary diagnoses and primary procedures. An analysis of the National Hospital Discharge records (SDO) maintained at the Italian Ministry of Health, concerning the 15 years of our study (from 2001 to 2016) was performed. A tertiary aim was to investigate the distribution of the procedures generally performed for Colles' fractures' treatment in Italy. A secondary aim was to estimate the average length of hospitalization for patients with a Colles' fracture. The present study aimed to evaluate the yearly number of Colles' fractures in Italy from 2001 to 2016, based on official information found in hospitalization records.
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