Background: Colles’ fracture is a type of fracture of the distal third of the radius and its most common cause is falling from patient’s own height and, epidemiologically, it is more common in the elderly. Objective...Background: Colles’ fracture is a type of fracture of the distal third of the radius and its most common cause is falling from patient’s own height and, epidemiologically, it is more common in the elderly. Objectives: The main objective of this study is to analyze the epidemiology of Colles’ fracture retrospectively, in patients admitted to Fernandes Távora Hospital. Materials and Methods: This retrospective study conducted at the Fernandes Távora Hospital used 1030 radiographic images of patients with wrist fractures. Results: (After a careful analysis) It was found that this type of fracture occurred with a greater frequency in age groups of 50 to 69, 60 to 69, and 40 to 49 years old, which corresponds to 59.5% of patients and the most affected sex were females (51.1%). Conclusion: The study concluded that this type of bone injury is more common in people aged 40 to 69 years old, especially in women, because of their geometry and bone composition. It is evident that Colles’ fracture impacts the life of the affected person, therefore, an adequate diagnosis and treatment having utmost importance.展开更多
目的:比较小夹板外固定对3种类型Colles骨折的固定效果。方法:回顾性分析62例采用手法复位小夹板外固定治疗的Colles骨折患者的病例资料;按AO分型标准,A型9例(A型组)、B型28例(B型组)、C型25例(C型组)。所有患者均按照《中医骨伤科常见...目的:比较小夹板外固定对3种类型Colles骨折的固定效果。方法:回顾性分析62例采用手法复位小夹板外固定治疗的Colles骨折患者的病例资料;按AO分型标准,A型9例(A型组)、B型28例(B型组)、C型25例(C型组)。所有患者均按照《中医骨伤科常见病诊疗指南》中桡骨远端骨折的操作规范进行手法复位小夹板外固定。根据X线片评估骨折愈合情况,测量桡骨高度、掌倾角及尺偏角,并采用Green and O’Brien腕关节评分标准评定腕关节功能。比较治疗后6周时3组患者的桡骨高度、掌倾角、尺偏角的恢复情况及治疗后12个月时的腕关节功能。结果:所有患者均未发生骨折再移位。所有骨折均获骨性愈合;3组患者的骨折愈合时间比较,差异无统计学意义[(5.9±2.9)周,(6.1±2.4)周,(6.1±1.9)周,F=3.201,P=0.089]。治疗后6周时,3组患者的掌倾角增加值比较,差异无统计学意义(12.64°±1.53°,14.08°±3.09°,14.03°±2.79°,F=2.166,P=0.121);3组患者的桡骨高度增加值比较,差异有统计学意义[(0.97±0.17)cm,(0.83±0.19)cm,(0.63±0.16)cm,F=9.473,P=0.021],A型组桡骨高度增加值大于B型组和C型组(P=0.030;P=0.002),B型组大于C型组(P=0.001);3组患者的尺偏角增加值比较,差异有统计学意义(15.60°±1.75°,16.57°±1.86°,13.76°±1.94°,F=11.483,P=0.001),A型组和B型组尺偏角增加值均大于C型组(P=0.001;P=0.029),A型组和B型组比较,差异无统计学意义(P=0.078)。治疗后12个月时3组患者的Green and O’Brien评分比较,差异有统计学意义[(88.56±2.19)分,(81.79±4.74)分,(69.68±6.01)分,F=13.619,P=0.000],A型组的评分高于B型组和C型组(P=0.011;P=0.000),B型组评分高于C型组(P=0.001)。结论:对于A、B型Colles骨折,小夹板外固定可有效维持复位后骨折端的稳定,有利于关节功能恢复;但对于C型Colles骨折,小夹板外固定效果较差。展开更多
目的通过随访对Colles骨折手法整复后竹夹板固定与石膏固定的疗效进行比较,确定Colles骨折手法整复后的有效治疗方案。方法将120例Colles骨折患者按随机数字表法随机分为竹夹板外固定组60例及石膏外固定组60例,骨折手法整复成功后,按照...目的通过随访对Colles骨折手法整复后竹夹板固定与石膏固定的疗效进行比较,确定Colles骨折手法整复后的有效治疗方案。方法将120例Colles骨折患者按随机数字表法随机分为竹夹板外固定组60例及石膏外固定组60例,骨折手法整复成功后,按照组别分别给予竹夹板固定及石膏固定治疗,外固定拆除后均给予中药熏洗1个月,6个月后进行随访,并按照Gartland and Werley腕关节评分比较两组骨折患者的腕关节评分,以评价疗效。结果竹夹板固定组优良率为83.3%,优于石膏固定组的56.7%(P<0.01)。结论 Colles骨折手法整复后竹夹板固定的疗效优于石膏固定。展开更多
文摘Background: Colles’ fracture is a type of fracture of the distal third of the radius and its most common cause is falling from patient’s own height and, epidemiologically, it is more common in the elderly. Objectives: The main objective of this study is to analyze the epidemiology of Colles’ fracture retrospectively, in patients admitted to Fernandes Távora Hospital. Materials and Methods: This retrospective study conducted at the Fernandes Távora Hospital used 1030 radiographic images of patients with wrist fractures. Results: (After a careful analysis) It was found that this type of fracture occurred with a greater frequency in age groups of 50 to 69, 60 to 69, and 40 to 49 years old, which corresponds to 59.5% of patients and the most affected sex were females (51.1%). Conclusion: The study concluded that this type of bone injury is more common in people aged 40 to 69 years old, especially in women, because of their geometry and bone composition. It is evident that Colles’ fracture impacts the life of the affected person, therefore, an adequate diagnosis and treatment having utmost importance.
文摘目的:比较小夹板外固定对3种类型Colles骨折的固定效果。方法:回顾性分析62例采用手法复位小夹板外固定治疗的Colles骨折患者的病例资料;按AO分型标准,A型9例(A型组)、B型28例(B型组)、C型25例(C型组)。所有患者均按照《中医骨伤科常见病诊疗指南》中桡骨远端骨折的操作规范进行手法复位小夹板外固定。根据X线片评估骨折愈合情况,测量桡骨高度、掌倾角及尺偏角,并采用Green and O’Brien腕关节评分标准评定腕关节功能。比较治疗后6周时3组患者的桡骨高度、掌倾角、尺偏角的恢复情况及治疗后12个月时的腕关节功能。结果:所有患者均未发生骨折再移位。所有骨折均获骨性愈合;3组患者的骨折愈合时间比较,差异无统计学意义[(5.9±2.9)周,(6.1±2.4)周,(6.1±1.9)周,F=3.201,P=0.089]。治疗后6周时,3组患者的掌倾角增加值比较,差异无统计学意义(12.64°±1.53°,14.08°±3.09°,14.03°±2.79°,F=2.166,P=0.121);3组患者的桡骨高度增加值比较,差异有统计学意义[(0.97±0.17)cm,(0.83±0.19)cm,(0.63±0.16)cm,F=9.473,P=0.021],A型组桡骨高度增加值大于B型组和C型组(P=0.030;P=0.002),B型组大于C型组(P=0.001);3组患者的尺偏角增加值比较,差异有统计学意义(15.60°±1.75°,16.57°±1.86°,13.76°±1.94°,F=11.483,P=0.001),A型组和B型组尺偏角增加值均大于C型组(P=0.001;P=0.029),A型组和B型组比较,差异无统计学意义(P=0.078)。治疗后12个月时3组患者的Green and O’Brien评分比较,差异有统计学意义[(88.56±2.19)分,(81.79±4.74)分,(69.68±6.01)分,F=13.619,P=0.000],A型组的评分高于B型组和C型组(P=0.011;P=0.000),B型组评分高于C型组(P=0.001)。结论:对于A、B型Colles骨折,小夹板外固定可有效维持复位后骨折端的稳定,有利于关节功能恢复;但对于C型Colles骨折,小夹板外固定效果较差。
文摘目的通过随访对Colles骨折手法整复后竹夹板固定与石膏固定的疗效进行比较,确定Colles骨折手法整复后的有效治疗方案。方法将120例Colles骨折患者按随机数字表法随机分为竹夹板外固定组60例及石膏外固定组60例,骨折手法整复成功后,按照组别分别给予竹夹板固定及石膏固定治疗,外固定拆除后均给予中药熏洗1个月,6个月后进行随访,并按照Gartland and Werley腕关节评分比较两组骨折患者的腕关节评分,以评价疗效。结果竹夹板固定组优良率为83.3%,优于石膏固定组的56.7%(P<0.01)。结论 Colles骨折手法整复后竹夹板固定的疗效优于石膏固定。
