手法整复夹板外固定与切开复位内固定治疗老年人桡骨远端C型骨折临床效果研究.docVIP

手法整复夹板外固定与切开复位内固定治疗老年人桡骨远端C型骨折临床效果研究 　　[摘要]目的 分析手法整复夹板外固定与切开复位内固定治疗老年人桡骨远端C型骨折的临床效果。方法 选取2015年1月～2016年12月在我院接受治疗的80例老年桡骨远端C型骨折患者按照治疗方法不同分为两组。非手术组40例采用闭合复位小夹板固定治疗，手术组40例采用切开复位钢板内固定治疗；对比两组患者临床效果。结果 两组骨折恢复Cooney腕关节评分及疼痛VAS评分比较，差异有统计学意义（P0.05）；手术组掌倾角、尺偏角高于非手术组（P0.05）。结论 手法整复夹板外固定与切开复位内固定均可治疗老年人桡骨远端关节内骨折；但对C型骨折患者，闭合复位夹板外固定治疗后解剖复位程度虽不如切开复位内固定治疗，临床应根据患者骨折情况，选择相应治疗方式。 　　[关键词]手法整复夹板外固定；切开复位内固定；桡骨远端C型骨折 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0075-03 　　Study of clinical effect of manipulative reduction，splint external fixation and open reduction and internal fixation in treatment of distal radius C-type fracture in elderly patients 　　ZENG Xing 　　Department of Orthopedics，the First People′s Hospital of Fuzhou，Jiangxi Province，Fuzhou 344000，China 　　[Abstract]Objective To analyze the clinical effects of manipulative reduction，splint external fixation and open reduction and internal fixation（ORIF） in treatment of distal radius C-type fracture in elderly patients.Methods Altogether 80 cases of senile patients with distal radius C-type fracture who were treated from January 2015 to December 2016 in our hospital were divided into two groups according to the different treatment methods；40 cases in non-surgery group were treated with closed reduction and small splint fixation；40 cases in surgery group were treated with open reduction and plate internal fixation.The clinical effects of the two groups were compared.Results The Cooney wrist score and pain VAS（visual analogue score） of fracture recovery of non-surgery group and surgery group were compared，the difference was statistically significant（P0.05）.Conclusion Manipulative reduction，splint external fixation and ORIF can be used in the treatment of intra-articular fractures of the distal radius for elderly patients；but for patients with C-type fracture，the anatomical reduction degree after closed reduction and splint external fixation is far less than ORIF；the appropriate therapy should be selected for treatme