小夹板固定动静结合治疗科雷氏骨折120例临床观察

Splintlet Fixation in Motional_Static Manner for the Treatment of Colles Fracture: A Report of 120 Cases

总结了１２０例粉碎性科雷氏骨折患者的治疗，分析了骨折复位后再移位以及功能恢复不佳的原因。采取了相应的预防及治疗措施，通过运用小夹板良好外固定，前臂三期体位摆放，三角巾分两期应用，４周后夹板不超腕关节固定，正确的功能锻炼，经过５个月至３年，平均１年６个月的随访，无１例出现桡偏畸形，同健侧对比，腕关节屈伸活动受限少于１５°，前臂旋转活动受限少于１０°，获得满意疗效。观察提示，治疗科雷氏骨折是一个动态过程，应注意动、静、体位相结合的原则。

he treatment of 120 cases of Colles comminuted fracture was summarized,and the causes of re_dislocation after reduction of fracture and unsatisfatory functional restoration were analyzed.The cases were treated by external fixation with splintlets,variation of forearm positioning in three different periods,application of triangular bandage in two periods,suspension of fixation not beyond the wrist joint after 4 weeks,and proper functional training of the wrist and elbow joints.They were followed_up from 5 months to 3 years with an average of 18 months.No case of radial deviation or malformation was observed.The limitation of flexion and extension of the wrist was less than 15°,and that of turn of forearm less than 10°.It is suggested that treatment of Colles fracture is a dynamic progress,and the principles of motional_static combination and correct positioning of the affected limb should be followed in order to obtain a better effect.