桡骨远端伸直型骨折纸夹板外固定治疗的比较研究

Comparative Study of External on the Treatment of Fracture of the Distal End of the Radius

目的 :研究纸夹板治疗桡骨远端伸直型骨折的优越性。方法 :60例桡骨远端伸直型骨折患者随机分为 3组 ,纸夹板组 2 0例 ,木夹板组 2 0例 ,石膏组 2 0例。经复位、固定后 ,分别在 4周后摄 X线片观察骨折固定效果、患肢功能恢复情况、测量比较又侧肢体的甲襞微循环、第二掌骨骨密度 ,并以比正常骨折愈合时间提前多少为疗效判定标准评定疗效。结果 :纸夹板在疗效、固定效果、患肢功能恢复、患肢甲襞微循环和第二掌骨骨密度恢复等方面均优于其他两组 ( P<0 .0 5 ,P<0 .0 1 )。结论 :纸夹板能有效地保证固定的稳定 ,明显促进骨折愈合和功能恢复 。

Objective:To study the advantage of paper splint for treating facture of distal end of radius.Methods:60 cases were randomly divided into 3 groups;paper splint group,wood splint group and plaster group,each 20 cases.After reposition and fixation,fixation effect measuring with X-rays,microcirculation,bone mineral density of secondly metacarpus and function recovery were evaluated in 3 groups after 4 weeks.Results:Curative effect,fixation effect,microcirculation,bone mineral density of secondly metacarpus and function recovery in paper splint group were best in 3 group.Conclusions:Paper splint could effectively keep fixation stability and promote facture healing as well as function recovery,according with principle of fracture treatment.