Observation of the effect of manual reduction and surgical reduction on distal radius fracture
SUN Yue-xian1 WANG Jiu-mei2 ZHAO Li-li3 GUO Chang-xiu4 YU Jing4▲
1.Department of Orthopaedic First Ward,Mudanjiang Forestry Central Hospital,Heilongjiang Province,Mudanjiang 157000,China;
2.Department of Dermatology,Mudanjiang Medical University Hongqi Hospital,Heilongjiang Province,Mudanjiang 157000,China;
3.Department of Respiratory,Mudanjiang Medical University Hongqi Hospital,Heilongjiang Province,Mudanjiang 157000,China;
4.Department of Endocrinology,Mudanjiang Medical University Hongqi Hospital,Heilongjiang Province,Mudanjiang 157000,China
Objective To investigate the effects of manual reduction and surgical reduction on patients with distal radius fracture.Methods A total of 84 patients with distal radius fracture admitted to Mudanjiang Forestry Central Hospital from October 2018 to September 2019 were selected as the research objects.According to the random number table method,the patients were divided into manual reduction group (42 cases) and surgical reduction group (42 cases).Patients in the manipulative reduction group received manipulative reduction therapy,while patients in the surgical reduction group received surgical reduction therapy.Operation time,operation cost,fracture healing time,the total incidence of complications rate,wrist range of motion and pain were compared between the two groups.Results After treatment,wrist range of motion score of two groups was higher than that before treatment,and pain score was lower than that before treatment,the differences were statistically significant (P<0.05).The operative time of the surgical reduction group was longer than that of the manual reduction group,the operation cost was higher than that of the manual reduction group,and the fracture healing time was shorter than that of the manual reduction group,the total incidence of complications rate was lower than that of the manual reduction group,the wrist range of motion score was higher than that of the manual reduction group,and the pain score was lower than that of the manual reduction group,the differences were statistically significant (P<0.05).Conclusion In patients with distal radius fractures,surgical reduction is more effective and pain scores are lower.
孙跃先;王九妹;赵丽丽;郭长秀;于晶. 手法复位与手术复位疗法对桡骨远端骨折患者的影响[J]. 中国当代医药, 2021, 28(4): 108-111.
SUN Yue-xian;WANG Jiu-mei;ZHAO Li-li;GUO Chang-xiu;YU Jing. Observation of the effect of manual reduction and surgical reduction on distal radius fracture. 中国当代医药, 2021, 28(4): 108-111.
Robbins RR,Ridge O,Carter PR.Iliac crest bone grafting and Herbert screw fixation of nonunions of the scaphoid with avascular proximal poles[J].J Hand Surg,1995,20(5):818-831.