Old fracture of the distal radius treatment of choice.docVIP

 PAGE \* MERGEFORMAT 9 Old fracture of the distal radius treatment of choice Of: Zhang Chun-Ming Hu Gu Gang Wang Tiejun your school that mountain Wang Jian [Keywords:] distal radius, fractures, treatment, elderly Elderly are more common distal radial fracture, as with various degree of osteoporosis, treatment is more difficult. Therefore, the choice of treatment of orthopedic surgeons for many years has been the problem (1 ~ 6) .2002 February 2006 In November, our department were treated 38 cases of senile distal radius fractures, with fracture type were treated by different methods to obtain satisfactory results. 1 Materials and Methods 1.1 Clinical data from February 2002 to November 2006, 38 patients were treated elderly patients with distal radial fracture, aged 61 to 87 (mean (74 + -12.8 years). Including 5 males and 33 females, 23 cases left the right side in 15 cases, 35 cases of fresh fractures, 3 cases of old fracture. injuries due to: a fall in 36 cases, 2 cases of traffic accident injuries. by Cooney classification (7) 1 (extra-articular fracture without displacement in 4 cases, 2 type (for displaced articular fractures of 8 cases, 3 (intra-articular fracture without displacement in 9 cases, 4 (of displaced intra-articular fracture in 17 cases (including 3 cases of old fracture. All fresh fractures, conservative or surgical treatment are acceptable Type 1 and type 2 fractures with manipulative reduction splints, 3 fracture reduction and plaster external fixation techniques used, reset 3,7,14,28 d review of X-ray film, fixed-time 4 ~ 8 w (average of 6 w, severe or healing of fractures in patients less able to extend the fixed-time .4 appropriate fracture reduction with external fixation technique in 2 cases, limited open reduction and Kirschner wire fixation combined plaster, 6 cases Open reduction and palmar T-plate fixation in 9 cases, open reduction and dorsal T-plate or in combination with Kirschner wire fixation in 3 cases (old