有限内固定加外固定治疗老年桡骨远端粉碎性骨折的疗效分析

Analysis on the effect of limited internal fixation and external fixation for the elder with the comminuted fracture of the distal radius

目的探讨有限内固定加外固定治疗老年桡骨远端粉碎性骨折的疗效。方法以宜宾市中医专科医院老年桡骨远端粉碎性骨折患者47例为治疗组,以同期收治的老年桡骨远端粉碎性骨折患者41例为对照组,治疗组给予有限内固定加石膏外固定;对照组给予手法复位并加石膏外固定,比较两组的疗效。结果治疗后治疗组优良率高于对照组,差异具有统计学意义(P<0.05)。结论对于老年桡骨远端粉碎性骨折,有限内固定加外固定疗效优于手法复位并加石膏外固定,是一种安全可靠的治疗手段。

Objective To investigate the effect of limited internal fixation and external fixation for the elder with the comminuted fracture of the distal radius distal. Methods 47 elder patients with the comminuted fracture of the distal radius in our hospital were as the therapeutic group. 41 elder patients with the comminuted fracture of the distal radius were as the control group at the same period. The therapeutic group underwent the limited internal fixation and external fixation. The control group underwent manipulative reduction and the fixation of plaster. Then we compared the therapeutic effects of 2 groups. Results The excellent rate in the therapeutic group was higher than that in the control one after treatment. The difference was significantly different（P〈0.05）. Conclusion The limited internal fixation and external fixation are better than the manipulative reduction and the fixation with plaster for the elder with the comminuted fracture of the distal radius,and it is safe and reliable treatment means.