Tratamiento conservador versus tratamiento quirúrgico de la fractura de Colles. Revisión Sistemática.

Abstract

Background: A Colles' fracture occurs at the distal end of the radius with dorsal comminution, dorsal angulation, dorsal displacement, radial shortening, and an associated fracture of the ulnar styloid process. Diagnosis is primarily based on clinical signs, especially the characteristic "dinner fork" deformity. The most common complications include compartment syndrome, median nerve injury, and vascular injuries. Therefore, this systematic review compares the effectiveness of conservative and surgical treatments for Colles' fracture. Methods: A literature search was conducted at the Catholic University of Cuenca's virtual library about clinical and randomized controlled trials, as well as original articles from databases such as Scopus, Web of Science, and PubMed. The search focused on relevant studies of conservative and surgical treatments for Colles' fracture. Additionally, literature search matrix was created in Excel, and the EndNote reference manager was used to organize the references. Results: Among the included studies, comparisons between casting and immobilization with volar flexion and ulnar deviation (VFUDC) indicated that the surgical group had better outcomes. Conclusions: From the reviewed articles, it was concluded that functional cast immobilization was more effective than VFUDC immobilization; regarding postoperative pain relief; ibuprofen demonstrated that it was more effective. Long-term comparative studies are needed to assess the functional outcomes of conservative and surgical treatments. Keywords: Colles' fracture, conservative treatment, surgical treatment, complications