Case-control study on the clinical characteristics of senile-osteoporotic Colles fracture / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To analysis and compare the clinical characteristics of Colles fractures between patients with osteoporotic and without osteoporotic.</p><p><b>METHODS</b>From June 2007 to June 2009, 260 patients with Colles fracture were reviewed, including 60 males and 200 females, with a mean age of 66.5 years old. According to Cooney classification 44 patients were type I, 83 patients were type II, 92 patients were type III and 41 patients were type IV. Among the patients, 96 patients were osteoporotic Colles fractures, and 164 patients without osteoporotic. The general information, invalidiation rate and short-term clinical results were compared between two groups.</p><p><b>RESULTS</b>There were no statistically difference of age, gender and fracture position between the two groups. There were more patients with type III and type IV, and higher invalidiation rate in osteoporotic Colles fracture group compared to those of no osteoporotic Colles fracture group (P<0.01). At the 6 months after treatment, the clinical effects of no osteoporotic Colles fracture group was better than that of osteoporotic Colles fracture group (P<0.01).</p><p><b>CONCLUSION</b>The senile-osteoporotic Colles fracture has different clinical characteristics, which should be given special treatment, frequent review and communication between doctors and patients during the period of treatment.</p>