Objective:To investigate the effect of manual reduction with traditional small splints fixation for distal radius fractures in older patients in the emergency department.Methods:Older patients(aged at least 60 years)w...Objective:To investigate the effect of manual reduction with traditional small splints fixation for distal radius fractures in older patients in the emergency department.Methods:Older patients(aged at least 60 years)with distal radius fractures were enrolled in this study.The patients were randomly divided into the treatment group and the control group.The treatment group was treated with manual reduction and small splints fixation.The control group was treated with manual reduction and resin plaster fixation.Before treatment,after reduction,and 3 months after treatment,the palmar tilt angle,ulnar deviation angle,and radial length were recorded.Before treatment and 3 months after treatment,the Cooney wrist joint scores were recorded.The time of fracture healing and related adverse events during the treatment were recorded.Results:Before treatment and after reduction,there were no statistically significant differences between the two groups in palmar tilt angle,ulnar deviation angle,or radial length(P>0.05).Three months after treatment,the palmar tilt angle,ulnar deviation angle,and radial length of the treatment group were better than those of the control group(P<0.05).The Cooney wrist scores of the treatment group was significantly higher than that of the control group three months after the treatment(P<0.05).The time of fracture healing of the treatment group was shorter than that of the control group,but the difference was no statistically significant(P>0.05).Conclusions:Compared with resin plaster fixation,traditional small splints fixation for distal radius fractures in older patients have the advantages of less loss of fracture reduction and faster functional recovery.Besides,the method is simple and low cost thus,it needs to be promoted.展开更多
Shanxi Zhuozhang River Basin has a long history of human habitation,which is one of important cradles of Central-Plains civilization.It has a distinctive valley landscape and holds the glorious Shangdang culture throu...Shanxi Zhuozhang River Basin has a long history of human habitation,which is one of important cradles of Central-Plains civilization.It has a distinctive valley landscape and holds the glorious Shangdang culture through the Fukou pathway of the ancient 8 valley pathways in Taihang,one of the main activities of Shanxi Lu Trader,and the old revolutionary base areas of Chinese Communist Party.Within the study area,the common factors infl uencing the ancient villages and towns space characteristics were systematically revealed from fi ve aspects of valley landscape environment,Lu Trader development lines,Buddhism propagation path,regional folklore and military activity site.By exploring the uniqueness and similarity,this study analyzed the spatial pattern of ancient villages and towns in the Zhuozhang River Basin and the infl uence of natural,social and historical factors.The feasibility of constructing cultural route in the Zhuozhang River Basin was demonstrated.展开更多
基金supported by scientific research project of China National Medicine Association(2019KYXM-Z199-35).
文摘Objective:To investigate the effect of manual reduction with traditional small splints fixation for distal radius fractures in older patients in the emergency department.Methods:Older patients(aged at least 60 years)with distal radius fractures were enrolled in this study.The patients were randomly divided into the treatment group and the control group.The treatment group was treated with manual reduction and small splints fixation.The control group was treated with manual reduction and resin plaster fixation.Before treatment,after reduction,and 3 months after treatment,the palmar tilt angle,ulnar deviation angle,and radial length were recorded.Before treatment and 3 months after treatment,the Cooney wrist joint scores were recorded.The time of fracture healing and related adverse events during the treatment were recorded.Results:Before treatment and after reduction,there were no statistically significant differences between the two groups in palmar tilt angle,ulnar deviation angle,or radial length(P>0.05).Three months after treatment,the palmar tilt angle,ulnar deviation angle,and radial length of the treatment group were better than those of the control group(P<0.05).The Cooney wrist scores of the treatment group was significantly higher than that of the control group three months after the treatment(P<0.05).The time of fracture healing of the treatment group was shorter than that of the control group,but the difference was no statistically significant(P>0.05).Conclusions:Compared with resin plaster fixation,traditional small splints fixation for distal radius fractures in older patients have the advantages of less loss of fracture reduction and faster functional recovery.Besides,the method is simple and low cost thus,it needs to be promoted.
基金the National Natural Science Foundation of China(51808004).
文摘Shanxi Zhuozhang River Basin has a long history of human habitation,which is one of important cradles of Central-Plains civilization.It has a distinctive valley landscape and holds the glorious Shangdang culture through the Fukou pathway of the ancient 8 valley pathways in Taihang,one of the main activities of Shanxi Lu Trader,and the old revolutionary base areas of Chinese Communist Party.Within the study area,the common factors infl uencing the ancient villages and towns space characteristics were systematically revealed from fi ve aspects of valley landscape environment,Lu Trader development lines,Buddhism propagation path,regional folklore and military activity site.By exploring the uniqueness and similarity,this study analyzed the spatial pattern of ancient villages and towns in the Zhuozhang River Basin and the infl uence of natural,social and historical factors.The feasibility of constructing cultural route in the Zhuozhang River Basin was demonstrated.
