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The use of a template to improve the management of distal radial fractures
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  • Published on:
    Use of a template to improve the management of distal radial fractures

    Dear Editor,

    We congratulate Kotnis et al.[1] on their clear and well-structured paper further substantiating safe guidelines for whether or not to reduce a displaced Colles fracture.

    It is always in our patients’ best interests to have consistency of management with our orthopaedic friends, remembering the high turnover of junior staff in both our specialities.[2,3]

    However, Professor Rolfe Birch...

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    Conflict of Interest:
    None declared.
  • Published on:
    Using up to date evidence

    Dear Editor,

    I agree with the sentiments of Dr Williamson treat the patients not the x-ray. Another important point is the method of analgesia. Intravenous regional anaesthesia is often a superior technique compared to the haematoma block for analgesia and will make the reduction easier. This could also have been done on the patients admitted from fracture clinic still avoiding the need for a general anaesthetic....

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    Conflict of Interest:
    None declared.
  • Published on:
    Treating x-rays not patients

    Dear Editor,

    I was very disappointed to read R Kotnis et al.'s article on the manipulation of distal radial fractures. They have based their entire article on outdated evidence and opinion that these fractures all require manipulation (their references 4,7,8,10,11). They have ignored more recent, and frankly much better, evidence (their reference 9) that we should have much greater tolerance of displacement in the...

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    Conflict of Interest:
    None declared.