闭合复位、穿针固定治疗老年性桡骨远端骨折

Closed reduction,pinning for the treatment of senile fracture of distal end of radius

目的：比较闭合复位与夹板外固定治疗桡骨远端骨折的疗效，以供临床参考。方法：以2010年6月～2012年6月来我院就诊的桡骨远端骨折患者45例为研究对象，进行随机分组。对照组进行单纯闭合复位、夹板外固定，观察组进行闭合复位、穿针固定。术后随访2年，观察2组患者骨折愈合时间，并比较Jakim功能评分标准评定疗效。结果：与对照组相比较，观察组患者骨折愈合时间较短，Jakim功能评分明显较好，有显著的统计学差异（p〈0．05）。结论：采用闭合复位、穿针固定与夹板外固定治疗桡骨远端骨折均可取得良好的疗效，其中闭合复位、穿针固定治疗的疗效更为满意，对骨折的愈合和术后功能的恢复具有积极的促进作用。

Objective：Comparison between dosed reduction, and the splint external fixation for the treatment of distal radius fractures, for clinical reference. Methods：In 2010 June to 2012 June in our hospital, 45 cases of patients with distal radius fractures as the research object, random grouping. The control group was treated by closed reduction, splint external fixation, the observation group was closed reduction, inter- nal fixation. Postoperative follow - up of 2 years, two groups were observed in patients with fracture healing time, and comparing the Jakim sco- ring criteria to evaluate the curative effect. Results： Compared with the control group, the patients in the observation group fracture healing time is shorter, Jakim function score significantly better, with significant statistical difference （ P 〈 0.05 ）. Conclusion：Closed reduction, internal fixation with splint external fixation for the treatment of distal radius fractures can achieve good effect, which closed reduction, internal fixation treatment the curative effect is more satisfied, on the healing of fracture and postoperative functional recovery has positive stimulative effect.