手法复位小夹板固定对骨质疏松性桡骨远端骨折患者临床症状及腕关节功能的影响

Effect of Manual Reduction and Splint Fixation on Clinical Symptoms and Wrist Function in Patients with Radius Distal Osteoporosis Fracture

目的研究手法复位小夹板固定对骨质疏松性桡骨远端骨折(RDOF)患者临床症状及腕关节功能的影响。方法选取2018年9月-2020年9月我院收治的60例RDOF患者,按照随机数字表法分为对照组与观察组,各30例。对照组应用切开复位钢板内固定治疗,观察组应用手法复位小夹板固定治疗,比较两组掌倾角、尺偏角、桡骨茎突高度、Mayo腕关节功能评分、骨折愈合时间、疼痛视觉模拟评分(VAS)、不良反应。结果治疗后3个月,对照组掌倾角、尺偏角、桡骨茎突高度、Mayo腕关节功能评分均大于观察组,差异有统计学意义(P<0.05),治疗后6个月,两组掌倾角、尺偏角、桡骨茎突高度、Mayo腕关节功能评分比较,差异无统计学意义(P>0.05);观察组骨折愈合时间短于对照组,且VAS评分小于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论手法复位小夹板固定方案可促进RDOF患者桡骨远端骨骼形态的恢复,改善其腕关节功能,缩短骨折愈合时间,减少患者疼痛,且不良反应少。

Objective To study the effect of manual reduction and splint fixation on clinical symptoms and wrist function in patients with radius distal osteoporosis fracture(RDOF).Methods Sixty patients with RDOF admitted to our hospital from September 2018 to September 2020 were selected and randomly divided into the control group and the observation group,with 30 cases in each group.The control group was treated with open reduction and plate internal fixation,and the observation group was treated with manual reduction and small splint fixation.The palmar inclination,ulnar deviation,radial styloid height,Mayo wrist function score,fracture healing time,pain visual analogue scale(VAS)and adverse reactions were compared between the two groups.Results After 3 months of treatment,the palmar tilt angle,ulnar deviation angle,radial styloid height and Mayo wrist function score in the control group were higher than those in the observation group,and the difference was statistically significant(P<0.05).At 6 months after treatment,there was no significant difference in palmar inclination,ulnar deviation,radial styloid height and Mayo wrist function score between the two groups(P>0.05).The fracture healing time of the observation group was shorter than that of the control group,and the VAS score was lower than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Manual reduction and small splint fixation can promote the recovery of bone morphology of distal radius in patients with RDOF,improve wrist function,shorten fracture healing time,reduce pain,and have less adverse reactions.