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Distal radius (Colles) fractures

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Options for surgical treatment of distal radius fractures include percutaneous pinning, external fixation, or plating. The choice of surgical treatment varies considerably among patients, surgeons, institutions, and nations; no single surgical method has been uniformly proven to be superior to others.

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Figure: fixation of  a Colles’ fracture with a plate

If a displaced fracture of the distal radius is left untreated, the resulting deformity will leave the person with dorsal angulation, loss of supination, and a weak grip. Malunion of the fracture site is associated with wrist pain and rupture of the extensor pollicis longus tendon.

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