手法复位小夹板外固定治疗老年桡骨远端骨折的效果

Efficacy of manipulative reduction plus external splinting in elderly with distal radius fractures

目的:探讨手法复位小夹板外固定治疗老年桡骨远端骨折的临床效果。方法:将2009年1月至2015年1月潮州市湘桥区中医医院收治的100例桡骨远端骨折患者随机分为两组,每组各50例,对照组采用常规切开复位方案,观察组采用手法复位小夹板外固定治疗,比较两组复位效果、骨折愈合时间及并发症发生情况。结果:观察组和对照组复位优良率、骨折愈合时间、并发症发生率分别为90%和80%、(42.1±8.2)d和(56.8±8.6)d、4%和22%,两组比较,差异均有统计学意义(P<0.05)。结论:手法复位小夹板外固定治疗桡骨远端骨折效果较常规切开复位法好,能缩短骨折愈合时间,减少并发症发生率。

Objective：To investigate the efficacy of manipulative reduction plus external splinting in elderly with distal radius fractures. Methods：Included in this study were 100 elderly patients with distal radial fracture treated at Xiangqiao District Hospital of Chinese Traditional Medicine, Chaozhou, between January 2009 and January 2015. The patients were randomly divided into two groups （ n=50 each）：the control group receiving conventional open reduction, and the study group receiving manipulative reduction plus external splinting. The two groups were compared for effectiveness of reduction, fracture healing time and complications. Results：The effective rate of reduction, fracture healing time and complication rate was 90% vs 80%, （42.1＆#177;8.2） d vs （56. 8 ＆#177; 8. 6 ） d, 4% vs 22%, respectively, in the study group vs the control group. The differences between the two groups were statistically significant （ P〈0.05） . Conclusion：Manipulative reduction plus external splinting results in better reduction, shorter fracture healing time and fewer complications compared with conventional open reduction for elderly patients with distal radius fractures.