Abstract：Objective To analyse the failure causes about Colles fracture gimmick reset, and propose new treatment strategy.Methods This was a retrospectively study and all the 203 patients were recruited from the Fourth People′s Hospital of Tianshui from November 2010 to November 2012, 81 males and 122 females were included, all of the patients were aged from 15 to 83. Based on fracture criteria and functional evaluation standards of Dienst determine the reduction effect and clinical prognosis, and meanwhile analyse the relations of patients gender, age, time of treatment, type of fracture and reset improper factor with the reset failed.Results Twenty-four cases failed in the first time of reduction, failure rate was 11.8%(24/203). There was no significant difference in gender(P＞0.05). However, the result was statistically different in patients′ age, time of treatment, type of fracture(all P values＜0.05). Twenty-four patients were followed up for 6~18 months after treatment, average 11.5 months. According to the function evaluation standard of Dienst, the curative effects were rated as excellent in 8 cases, good in 5 cases, moderate in 4 cases, and poor in 7 cases, with the no satisfaction rate being 45.8% (11/24).Conclusions Although manual reduction plaster external fixation in the treatment of Colles fracture has its advantages, it also has the risk of failure or result in the function of wrist joint limited. The related factors are included patients′ age, gender, time of treatment, type of fracture, improper operation of physician, neglect on functional exercise and so on. These issues deserve adequate attention in clinical practice.
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2015, Vol. 20 
