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Colles' fracture. Immobilisation in pronation or supination?
Wilson C, Venner RM
Journal of the Royal College of Surgeons of Edinburgh 1984 Mar;29(2):109-111
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; 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*

Forty-one patients with Colles' fracture were allocated randomly to treatment by immobilisation either in a forearm plaster in pronation or in an above-elbow plaster with the forearem in supination. Anatomical and functional results were compared and no significant differences between the groups were found. Application of the above-elbow plaster was more difficult and took longer, and some patients complained that it was bulky and heavy. We do not therefore recommend the above-elbow plaster with the forearm in supination as a technique for the immobilisation of Colles' fractures.

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