无创调节式夹板托支架治疗桡骨远端骨折的临床研究

严松鹤; 胡钢; 蔡建平; 刘新焕

无创调节式夹板托支架治疗桡骨远端骨折的临床研究

1.
南京中医药大学第一临床医学院，江苏南京 210023
2.
无锡市中医医院骨伤科，江苏无锡 214001

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出版历程
- 收稿日期: 2012-12-11
- 修回日期: 2013-02-17
- 刊出日期: 2013-05-10

Clinical Research on Distal Radius Fracture Treated by Splint Support of Non-invasive and Regulating Type

1.
The First Medical College, Nanjing University of Chinese Medicine, Nanjing, 210023, China
2.
Department of Tramotology and Orthopedics, Wuxi Hospital of Traditional Chinese Medicine, Wuxi, 214001, China

摘要

摘要: 目的对比分析无创调节式夹板托支架与塑性铅丝纸质夹板治疗桡骨远端骨折，对局部解剖结构及腕关节功能的影响。方法 2012年1月至2012年12月我科收治40例桡骨远端骨折患者，随机分为塑性铅丝纸质夹板治疗组、无创调节式夹板托支架治疗组，每组各20例，在闭合手法整复的基础上分别采用塑性铝丝纸质夹板、无创调节式夹板托支架固定。结果所有患者均获得随访，骨折均愈合，无并发症；经统计学分析，2组在恢复桡骨远端解剖结构及维持掌倾角、尺偏角方面无差异（P>0.05），但无创调节式夹板托支架组在桡骨高度维持及腕关节功能恢复方面优于塑性铅丝纸质夹板组(P<0.05)。结论无创调节式夹板托支架治疗桡骨远端骨折能有效恢复并维持桡骨远端解剖结构，避免桡骨短缩畸形，腕关节功能恢复满意，获得良好疗效。
- 桡骨远端骨折 /
- 无创调节式夹板托支架 /
- 塑性铅丝纸质夹板 /
- 解剖结构 /
- 腕关节功能
Abstract: OBJECTIVE To compare and analyze the effects of splint support of non-invasive and regulating type with splint of plastic lead wire paper type on local anatomy and wrist joints function. METHODS 40 patients with distal radius fracture received and cured in our department from January to December in 2012 were randomized into two groups: splint support of non-invasive and regulating type group (20 cases) and splint of plastic lead wire paper type group (20 cases). No statistical difference existed in the age， sex and fracture type of two groups. RESULTS After all patients received follow-ups， it was discovered that all fractures were healed without any complication. Based on statistical analysis， there was no difference among the recovery of local anatomy of distal radius， maintaining of palmar tilt and ulna deflection angle in both groups (P>0.05). But splint support of non-invasive and regulating type group had better effects than the splint of plastic lead wire paper type group on the maintaining of radial height and recovery of wrist joints function (P<0.05). CONCLUSION Splint support of non-invasive and regulating type has good effects of healing distal radius fracture， maintaining the anatomy of distal radius， avoiding the shortening and deformity and restoring the wrist joints function.
- distal radius fracture /
- splint support of non-invasive and regulating type /
- splint of plastic lead wire paper type /
- anatomy /
- wrist joints function

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参考文献(5)

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