摘要
目的探讨对老年桡骨远端骨折患者选择手法复位小夹板外固定方法治疗后获得的临床效果。方法选择该院2016年4月-2018年5月收治的65例老年桡骨远端骨折患者作为实验对象;数字奇偶法分组后探究每组手术疗法;比照组(32例):选择切开复位钢板内固定方式展开手术治疗;实验组(33例):选择手法复位小夹板外固定方式展开手术治疗;比较两组老年桡骨远端骨折患者关节功能优良率、骨折愈合时长、疼痛缓解时长、掌倾角、尺偏角以及并发症总发生率。结果实验组老年桡骨远端骨折患者关节功能优良率(93.94%)同比照组(93.75%)比较差异无统计学意义(χ^2=0.001,P>0.05);实验组老年桡骨远端骨折患者骨折愈合时长以及疼痛缓解时长均短于比照组明显(t=4.079、4.639,P<0.05);实验组老年桡骨远端骨折患者掌倾角以及尺偏角同比照组比较差异无统计学意义(t=0.399、0.648,P>0.05);实验组老年桡骨远端骨折患者并发症总发生率(9.09%)同比照组比较(6.25%)差异无统计学意义(χ^2=0.185,P>0.05)。结论老年桡骨远端骨折患者于临床接受手法复位小夹板外固定手术治疗后,于骨折愈合时长、疼痛缓解时长缩短方面,效果显著,最终对于老年桡骨远端骨折患者康复状态提升,奠定基础。
Objective To investigate the clinical effect of manual reduction and small splint external fixation in the treatment of elderly patients with distal radius fracture. Methods 65 Elderly Patients with distal radius fractures admitted to the hospital from April 2016 to May 2018 were selected as experimental subjects;after dividing into two groups by digital parity method, each group was explored for surgical treatment;control group(32 cases): open reduction and plate internal fixation were selected for surgical treatment;experimental group(33 cases): manual reduction and small splint external fixation were selected for surgical treatment;comparison was made between the two groups. The excellent rate of joint function, the length of fracture healing, the length of pain relief, the palmar inclination, the ulnar inclination and the total incidence of complications in patients with distal radius fracture were compared. Results No statistically significant difference was found between the experimental group(93.94%) and the comparison group(93.75%)(χ^2=0.001,P>0.05). The length of fracture healing and pain relief in the experimental group was shorter than that in the comparison group(t=4.079,4.639,P<0.05). There was no statistically significant difference in palmar inclination and ulnar deviation between the two groups( t=0.399, 0.648,P>0.05). The total incidence of complications in elderly patients with distal radius fractures in the experimental group(9.09%) was not statistically significantly different from that in the comparison group(6.25%)(χ^2=0.185,P>0.05). Conclusion The elderly patients with distal radius fracture received manual reduction and small splint external fixation, which has significant effect on the healing time and pain relief time. Finally, it lays a foundation for the elderly patients with distal radius fracture to improve their recovery status.
作者
郭瑞
杨生旺
GUO Rui;YANG Sheng-wang(Department of Orthopaedics,Huaning County People's Hospital,Huaning,Yunnan Province,652899 China;Department of Orthopaedics,Huaning Hospital of Traditional Chinese Medicine,Huaning,Yunnan Province,652899 China)
出处
《系统医学》
2020年第3期66-68,共3页
Systems Medicine
关键词
手法复位小夹板外固定
老年桡骨远端骨折
临床效果
Manual reduction and external fixation with small splints
Distal radius fracture in the elderly
Clinical effect
作者简介
郭瑞(1981-),男,云南华宁人,本科,主治医师,主要从事骨外科工作。
