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Table 3 Extract from the evidence document

From: From evidence to best practice in the management of fractures of the distal radius in adults: working towards a research agenda

Q3.1 When should definitive treatment begin?
Evidence Review [R1]: 1 RCT [T1], 80 participants
Aim /focus Timing of primary manipulation of displaced Colles' fractures.
Population Displaced Colles' fracture, age >50 years. No symptoms of median nerve compression.
Comparison Delayed primary manipulation under regional anaesthesia at 1 week after back slab in displaced position versus immediate primary manipulation.
Outcome Report of similar anatomical results in the two groups, with no increase in complications (median nerve compression) nor discomfort in the delayed manipulation group.
Comments Insufficient information and no qualitative data available. Abstract only.
Interpretation Unknown effectiveness
  1. R1. Handoll HHG, Madhok R. Conservative interventions for treating distal radial fractures in adults (Cochrane Review). In: The Cochrane Library, Issue 1, 2002. Oxford: Update Software. T1. McMillan J, James P, Kumar S, Kinninmonth AWG. Delayed primary manipulation of Colles' fractures – a prospective study [Abstract]. Injury 1996; 27(5):376.