[Orthopaedic treatment of colles' fractures according to judet's method].

Revision of 109 Colles' fractures treated by Judet's method confirm the safety of that technic and the overall good results (73% of anatomical results). The authors show that the results are quite different in presence or in absence of metaphyseal comminution (50 to 90% of anatomical results) and when anterior cortex of the distal fragment has crossed the anterior cortex of the proximal fragment. They also emphasise the necessity of pre-operative Xrays under traction to assess that comminution, and sometimes to correct the wrong diagnosis of strictly extra-articular fractures.

[Treatment of comminuted fractures of the lower end of the radius with internal osteosynthesis, traction and early mobilization].

Goals for treatment of comminutive fractures of the distal radius include restoration of the articular profile of the proximal part of the joint, while axial loading forces must be avoided as much as possible to prevent secondary displacement. The choice of an internal fixation protected by an external wrist distractor-fixator, with early activo-passive mobilisation, seems to achieve the goal. Twelve patients with a comminuted fracture of the distal radius, including axial articular impigment displacement were reviewed for this study.

[Limits and insufficiencies of the treatments of recent double-break articular fractures of the lower fourth of the radius].

The authors present a series of 39 intra-articular fractures of the distal part of the radius classified as Frykman VII and VIII. Clinical results showed 77% of good and very good results. Radiographs showed 71% of reduced articular surfaces but only 37% of radiuses were considered to be anatomical.