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| Gipsbandagering af Colles' frakturer. Lav dorsal skinne kontra hoj cirkulaer gips (Bandaging of Colles' fracture with plaster of Paris. Low dorsal bracing versus high circular plaster of Paris) [Danish] |
| Sorensen JL, Strange KS, Bjerg Nielsen A |
| Ugeskrift for Laeger 1986 Oct 27;148(44):2825-2827 |
| clinical trial |
| 4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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In a randomized prospective investigation of 93 patients with displaced Colles' fractures, treatment with a dorsal plaster slab below the elbow (S) was compared with a circular plaster above the elbow (C). After six weeks, the anatomical result in the S-group was better than in the C-group (76% compared to 58% in the excellent or good categories, 0.05 > p > 0.025). Otherwise, no significant anatomical or functional differences were observed in the range of movements, or in the rate of complications. Since treatment with a dorsal slab is simple and requires only a minimum of resources, this treatment is preferable. The results in the S-group do not seem to be inferior to any other treatment, eventhough dynamic splintage in supination has produced slightly better results.
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