Gypsum fixed position on the wrist scaphoid fracture healing and function.docVIP

 PAGE \* MERGEFORMAT 8 Gypsum fixed position on the wrist scaphoid fracture healing and function [Keywords:] plaster fixed position scaphoid fracture healing Wrist scaphoid fracture is a common fracture. Plaster cast treatment of external fixation of fresh scaphoid fracture is one of the methods commonly used, but a fixed position on the plaster has been controversial. Most scholars believe that the traditional wrist dorsiflexion 20 ~ 30 fixed function bit less impact on the joints, is the best fixed position [1]. However, some scholars advocate mild palmar flexion fixed, they think wrist palmar flexion fracture when the block is more conducive to reduction and stability [2 ~ 4], some academics have suggested domestic palm healing rate of a fixed flexion than dorsiflexion position [5,6]. To this end, we have since June 2002 to June 2006 were treated in fresh 112 cases of scaphoid fracture, respectively dorsiflexion and palmar flexion 20 20 bit plaster cast fixation, systematic clinical and X ray observation to explore the plaster fixed position on the fracture healing and joint mobility of the wrist. 1 Clinical data 1.1 General information on this group a total of 112 cases, male 87 cases, 25 females, aged 17 to 65 years, with an average of 35 years. The left side in 38 cases, 74 cases of right. The causes of injury: falls 64 cases, 37 cases of car accident injuries Other injuries in 11 cases. fractures type: stable fractures in 78 cases, including 55 cases of lumbar fractures, distal fractures in 17 cases, 6 cases of near-polar fractures, fractures in 34 patients, including 18 cases of lumbar fracture, 10 fractures of the distal pole cases, near-polar fractures in 6 cases. FRACTURES 2 mm and the high rate of fracture healing because they do not, it is excluded from this study, the other for other processing. fixed time after the injury 2 h ~ 7 d. 1.2 Treatment 1.2.1 grouped according to patient numbers were randomly divided into two grou