Backslab or full plaster after manipulation of Colles fracture?
- Report By: Rachel Jenner - SpR A&E
- Search checked by Katherine Potier de la Morandiere - Specialist Registrar
- Institution: Stepping Hill Hospital, Stockport
- Date Submitted: 22nd June 2003
- Last Modified: 14th September 2004
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Status:
Yellow (Internal BestBET edit)
Three Part Question
In [elderly patients with a Colles fracture manipulated in the Emergency Department] is [immobilisation in a backslab or full plaster] better at [maintaining fracture position and reducing neurovascular complications]Clinical Scenario
One of the orthopaedic doctors comes to show you the Xray of a 75 year old woman in whom you mainpulated a Colles fracture under Biers block last week. The fracture has re-displaced. He says that if you had applied a full plaster instead of a backslab the result would have been better. You wonder if this is true.Search Strategy
Medline 1966- week 3/09/04 using the Ovid interface.[exp Colles' Fracture/ OR exp Radius Fractures/] AND [exp Casts, Surgical/ OR exp Immobilization/ OR exp Fracture Fixation/ OR plaster.mp OR backslab.mp] LIMIT to human AND English language AND "all aged <65 and over>