[1]田 兵,蒋乙兵,杨 波,等.小夹板固定与石膏固定治疗桡骨远端骨折的临床疗效对比[J].医学信息,2018,31(14):118-119.[doi:10.3969/j.issn.1006-1959.2018.14.035]
　TIAN Bing,JIANG Yi-bing,YANG Bo,et al.Comparison of Clinical Effects between Splint Fixation and Plaster Fixation in the Treatment of Distal Radius Fractures[J].Journal of Medical Information,2018,31(14):118-119.[doi:10.3969/j.issn.1006-1959.2018.14.035]
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小夹板固定与石膏固定治疗桡骨远端骨折的临床疗效对比()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年14期
页码:
118-119
栏目:
临床研究
出版日期:
2018-07-15

文章信息/Info

Title:
Comparison of Clinical Effects between Splint Fixation and Plaster Fixation in the Treatment of Distal Radius Fractures
文章编号:
1006-1959（2018）14-0118-02
作者:
田 兵; 蒋乙兵; 杨 波; 黄三廷; 帅 奇; 王 宏
铜仁市中医院骨伤科，贵州 铜仁 554300
Author(s):
TIAN Bing; JIANG Yi-bing; YANG Bo; HUANG San-ting; SHUAI Qi; WANG Hong
Department of Orthopaedics and Trauma,Tongren Hospital of Traditional Chinese Medicine,Tongren 554300,Guizhou,China
关键词:
桡骨远端骨折; 手法整复; 小夹板固定; 石膏外固定
Keywords:
Key words：Distal fracture of radius
分类号:
R683.7
DOI:
10.3969/j.issn.1006-1959.2018.14.035
文献标志码:
A
摘要:
目的 对比手法整复小夹板固定与石膏外固定治疗桡骨远端骨折的临床疗效。方法 选择2015年9月~2017年9月我院骨科收治的桡骨远端骨折患者60例，随机分成小夹板组与石膏外固定组，各30例。所有患者采用手法整复，小夹板组应用小夹板固定，石膏外固定组采用石膏固定，观察两组患者患肢掌倾角、尺偏角和桡骨高度及腕关节功能情况。结果 60例患者均获得随访，随访时间6~24个月。末次随访X线片显示，小夹板组患者掌倾角、尺偏角和桡骨高度恢复情况均优于石膏外固定组患者，组间比较，差异具有统计学意义（P＜0.05)；小夹板组患者手术优良率93.33%，高于石膏外固定组的76.66%，差异具有统计学意义（P＜0.05)。结论 手法整复小夹板固定治疗桡骨远端骨折较石膏外固定临床疗效好更优,小夹板复位丢失发生情况低于石膏外固定，肿胀消退、骨折愈合后功能优于石膏固定。
Abstract:
Abstract：Objective To compare the clinical effect of manual reduction splint fixation and plaster external fixation in the treatment of distal radius fracture.Methods From September 2015 to September 2017,60 patients with distal radius fracture were randomly divided into splint group and plaster external fixation group,30 cases each.All patients were treated by manual reduction,splint group was fixed with small splint and plaster fixation was used in the plaster external fixation group.The palmar angle of the limbs,the angle of ulnar,the height of the radius and the function of the wrist were observed in the two groups.Results All 60 patients were followed up for 6 to 24 months.The last follow-up X-ray showed that the degree of palm tilt,ulnar deviation and tibia height recovery in the splint group were better than those in the external plastering group,the difference was statistically significant(P<0.05).The excellent and good rate of operation in the small splint group was 93.33%,which was higher than that in the external plastering group 76.66%,the difference was statistically significant(P<0.05).Conclusion The treatment of distal radius fracture by manual reduction and splint fixation is better than that of plaster external fixation.The incidence of reduction and loss of small splint is lower than that of plaster external fixation,and the swelling subsides,and the function after fracture healing is better than that of plaster fixation.

参考文献/References:

[1]廖志强,钟克宣,杨耿华,等.掌侧与背侧不同入路手术治疗C型桡骨远端骨折的比较分析[J].中国医药科学,2016,6(24):226-228. [2]杨帅,张世民.桡骨远端骨折畸形愈合与功能恢复的关系[J].中国矫形外科杂志,2010,18(6):468-470． [3]Kumbaraci M,Kucuk L,Karapinar L,et al.Retrospective comparison of external fixation versus volar locking plate in the treatment of unstable intra-articular distal radius fractures[J].Eur J Orthop Surg Traumatol,2014,24(2):173-178. [4]张洪,赵国梁,杨徐松.两种不同方法治疗桡骨远端骨折88例疗效分析[J].中国骨与关节损伤杂志,2012,27(3):268-269.

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更新日期/Last Update: 2018-07-15