手法复位与切开复位治疗老年桡骨远端不稳定骨折的比较研究

Comparative research of close reduction and open reduction treatment for Senile unstable distal radius fractures

目的比较手法复位和切开复位2种方法治疗老年桡骨远端不稳定新鲜闭合骨折的临床疗效。方法选取2009年1月~2010年6月收治的65例老年桡骨远端不稳定新鲜闭合骨折患者随机分为手法复位组﹙采用手法复位外固定架治疗,32例﹚和切开复位组﹙采用切开复位钢板内固定治疗,33例﹚,随访比较2种治疗方法的临床疗效。结果所有患者均随访6~12个月,平均10个月,疗效评定参照Jakim评分标准,手法复位组优良率和满意度分别为78.13%和84.38%,切开复位组优良率和满意度分别为84.85%和78.79%,2组优良率和满意度比较差异无统计学意义﹙〉0.05﹚。结论手法复位和切开复位2种方法治疗老年桡骨远端不稳定新鲜闭合骨折均可获得较为满意的疗效。

Objective To compare the clinical results of close reduction and open reduction treatment for senile unstable distal radius fractures.Methods Retrospective analysis of the clinical results of 65 senile patients with unstable distal radius fractures from January 2009 to June 2010 in our department were randomly divided into close reduction group ﹙n=32﹚ and open reduction group﹙n=33﹚.The patients of close reduction group were treated with close reduction and external fixator,while the patients of open reduction group were treated with open reduction and internal fixation.Results Followup duration averaged 10 months﹙6 to 12 months﹚.According to the Jakim evaluation score ： the good excellent rate and satisfaction of the patients in the close reduction group were 78.13% and 84.38%,while the open reduction group were 84.85% and 78.79%.There was no significant difference in curative effect and the satisfaction of the patients for the two groups﹙ 0.05﹚.Conclusions Close reduction and open reduction can achieve acceptable curative effect for senile unstable distal radius fractures.