桡骨远端骨折手法复位并石膏外固定临床疗效观察

Effect of manipulative reduction and cast immobilization in the treatment of closed distal radius fracture

目的 观察手法复位并石膏外固定治疗闭合性桡骨远端骨折的临床疗效并探讨手法复位成功的关键因素.方法 对78例中老年桡骨远端骨折患者采用手法复位并石膏外固定治疗,术后定期进行X线和腕关节功能评估.结果 术后X线检查达到解剖复位60例,功能复位18例；末次随访时腕关节评分获优55例,良23例.结论 手法复位并石膏外固定治疗闭合性桡骨远端骨折可取得满意效果.

Objective To investigate the clinical efficacy of manipulative reduction and cast immobilization in the treatment of closed distal radius fracture.Methods 78 elderly patients with distal radial fractures were treated with closed reduction and cast immobilization,and received X-rays and regular assessment of wrist function after operation.We analyzed the effect at different time points.Results The postoperative X-ray examination showed,60 cases achieved desired effect of anatomic reduction,18 cases of functional reduction.At the final follow-up time point,Functional Assessment Scoring of 55 cases was excellent,23 cases of good.Conclusion Manual reduction combined with cast immobilization in the treatment of closed distal radius fractures can obtain satisfying outcome.