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Wheeless' Textbook of Orthopaedics
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Percutaneous Kirschner-wire fixation of Colles fractures. A prospective study of


thirty cases. Clancey-GJ J-Bone-Joint-Surg-Am. 1984 Sep; 66(7): 1008-14 Thirty consecutive patients with a displaced Colles fracture were treated with closed reduction and percutaneous fixation with two Kirschner wires. There were no serious complications. Two of the thirty patients had a minor loss of reduction that did not compromise function. One of the twenty-eight patients who were available for one-year follow-up had a moderate loss of flexion and extension. No patient had a significant loss of rotation of the forearm. The study showed that additional fixation improves both the anatomical and the functional results after a Colles fracture. I recommend the use of percutaneous Kirschner-wire fixation if the articular surface of the radius is not comminuted into more than two fragments.



Original Text by Clifford R. Wheeless, III, MD.