手法复位新型外固定架治疗C型桡骨远端骨折

Treatment of C-type fractures of the distal radius by bone-setting manipulation coordinated with the new-style of external fixing frame

目的探讨手法复位配合新型外固定架治疗C型桡骨远端骨折的临床疗效。方法选取2009年9月~2011年12月来我院就诊的具有完整病例资料的C型桡骨远端骨折患者34例,回顾性分析手法复位配合新型外固定架的临床疗效。结果 34例患者全部获得随访,平均随访时间为6个月,骨折治疗均达到临床愈合标准,根据Gartland-Werley腕关节评分表评定临床疗效,优19例,良12例,可3例,优良率达91.2%。结论手法配合新型外固定架治疗C型桡骨远端骨折疗效确切,骨折愈合时间明显缩短,并发症少,关节功能恢复满意,具有良好的应用价值,值得临床推广和借鉴。

Objective To evaluate the clinical effects of bone-setting manipulation coordinated with the new-style of external fixing frames on C-type distal radius fractures.Methods 34 cases with complete data of type C distal radial fractures from September 2009 to December 2011 in our hospital were selected.Clinical effects of bone-setting manipulation coordinated with the new-style of external fixing frames were retrospectively analyzed.Results 34 patients were obtained for follow-up visits meaning hundred-percent of those treated had follow up visits.The average follow-up period was 6 months,with fractures reaching the clinical healing standard.According to Gartland-Werley wrist score sheets used in assessing clinical curative effect,the results were excellent in 19 cases,good in 12 cases and acceptable in 3 cases,the good to excellent rate reached 91.2%.Conclusion The clinical effects of bone-setting manipulation coordinated with the new-style of external fixing frames is confirmed for C-type distal radius fractures,the healing time has obviously been reduced,fewer complications have occurred,joint function recovered satisfactorily,therefore it has a good value for application and deserves popularization,medical reference and to be used clinically.