不同类型Colles骨折采用小夹板固定的疗效对比研究

目的探讨分析不同类型Colles骨折采用小夹板外固定的临床效果。方法选取2013-12—2015-12洛龙区关林镇卫生院Colles骨折患者68例,参照AO分型标准,其中A型11例(A组)、B型29例(B组)、C型28例(C组),均采用手法复位后给予小夹板固定,具体操作严格依据《中医骨伤科常见病诊疗指南》进行。跟踪随访,分别在治疗前、治疗后8周时评估各型患者骨折愈合情况,并测量掌倾角、尺偏角以及桡骨高度;治疗12个月时比较各组患者腕关节功能。结果所有患者获得骨性愈合,未见骨折移位。三组患者骨折愈合时间差异无统计学意义(P>0.05)。腕关节功能评分比较,A组和B组优于C组(P<0.05)。结论手法复位并小夹板固定对各型Colles骨折愈合无明显影响,但对于C型骨折而言,其腕关节功能恢复相对较差。

Objective To explore the clinical effects of small splint extemal fixation for different types of Colles fracture. Methods 68 patients with Colles fracture in the Guanlin Town Hospital of Luolong District from December 2013 to December 2015 were selected and divided into group A（n = 11）,group B（n=29） and group C（n=28） according to AO classification standard.All patients were treated with small splint external fixation after manual reposi- tion.The specific operation was strictly based on Traditional Chinese Medicine Orthopedic Diagnosis and Treatment Guidelines.Follow-up visits were conducted,and the healing status of fracture of all patients was evaluated before treatment and 8 weeks after treatment.The angle of the palm tilt, the angle of ulnar inclination and the radius height were measured,The wrist joint function of each group was compared after 12 months of treatment,Results Bone u- nion was obtained in all patients, and no fracture displacement was found.There was no significant difference in frac- ture healing time between the three groups （P〉0.05）.The wrist joint function in group A and B was better than that in group C（P〈0.05）.Conclusion Manual reposition with small splint fixation has no significant influence on the heal- ing of different types of Colles fracture.But for type-C fracture, the recovery of wrist joint function is relatively poor.