Effect of super-small splint fixation in the treatment of senile osteoporotic distal radius fracture
SHAO Xiao-wu1 LI lun2 XU Jin-qiang2▲
1.Department of Orthopedics, People′s Hospital of Yuancheng District in Heyuan City, Guangdong Province, Heyuan 517000, China；
2.Department of Osteopathy and Gushongkangfu，People′s Hospital of Yuancheng District in Heyuan City, Guangdong Province, Heyuan 517000, China
Abstract：Objective To investigate the effect of super-wrist splinting in the treatment of elderly patients with osteoporotic distal radius fracture.Methods The clinical data of 105 elderly patients with osteoporotic distal radius fractures admitted to our hospital from May 2016 to May 2018 were retrospectively analyzed.According to different treatment methods, they were divided into super-wrist splint fixation group (n=54) and the cast group (n=51), the two groups of patients were followed up for 3 months after treatment, the wrist function and bone density of the two patients were compared.Results The improved Mcbridge wrist scores and Sannento imaging scores were 74.1% and 87.0% in the super-cleft splint-fixed group, both were higher than the plaster-fixed group of 51.0% and 72.5%, and the differences were statistically significant (P＜0.05).After 3 months of follow-up, the X-ray plain film data of the small splint group and the gypsum group were compared.The difference of the palm tilt angle, the ulnar angle and the ulnar and radial bone spacing of the small splint group were larger than that of the gypsum group, and the differences were statistically significant (P＜0.05).The changes of bone mineral density before treatment and after 3 months of treatment were compared.The change of bone mineral density in the super-wrist splint fixation group was smaller than that in the plasterfixed group, and the difference was statistically significant (P＜0.05).Conclusion The clinical effect of super-small splint fixation in the treatment of osteoporotic distal radius fractures in elderly patients is superior to the external fixation of gypsum, and should be promoted and applied in the clinical of brittle fractures of the distal radius.
Fernandez DL，Jupiter JB.Fractures of the distal radius a practice approach to management[J].New York：Springer-verlag，1996：1-10.
[5]
Tsang SW，Bow CH，Chu EY，et al.Clinical risk factor assessment had better discriminative ability than bone mineral density in identifying subjects with vertebral fracture[J].Osteoporos Int，2011，22（2）：667-674.
[8]
Stewart HD，Innes AR，Burke FD.Functional cast-bracing for colles fractures a comparison between cast bradng and conventional plaster casts[J].J Bone Joint Surg Br，1984，66（5）：749-753.
[9]
Bartl C，Stengel D，Gülke J，et al.Clinical results following conservative and surgical treatment of osteoporotic distal radius fractures in the elderly：overview of best available evidence[J].Unfallchirurg，2016，119（9）：723-731.
[10]
Nelson G N，Stepan JG，Osei DA，et al.The impact of patient activity level on wrist disability after distal radius malunion in older adults[J].J Orthop Trauma，2015，29（4）：195-200.
Roumen RM，Hesp WL，Bruggink ED.Unstable Colles′fractures in elderly patients.A randomised trial of external fixation for redisplacement[J].J Bone Joint Surg Br，1991，73（2）：307-311.
[13]
Lichtman DM，Bindra RR，Boyer MI，et al.Treatment of distal radius fractures[J].J Am Acad Orthop Surg，2010，18（3）：180-189.
京公网安备 11010502046607号