Effect comparison of surgical treatment and manual reduction plaster external fixation in the treatment of distal radius fracture
MA Jia1 MENG Qing-feng1 ZHENG Lian-xiang1 XU Ying-hui2
1.Department of Orthopedics,Fushun Central Hospital,Liaoning Province,Fushun 113006,China;
2.Department of Respiration,Fushun Central Hospital,Liaoning Province,Fushun 113006,China
Abstract：Objective To investigate effect of surgical treatment and manual reduction plaster external fixation in the treatment of distal radius fracture.Methods A total of 150 patients with distal radius fracture treated in our hospital from November 2013 to November 2017 were selected as research objects.They were divided into control group(n=75)and observation group(n=75)according to the random number table method.The control group was treated with manual reduction plaster external fixation while the observation group was given surgical treatment.The imaging examination and functional evaluation were performed before and after treatment,and the surgical effect and complications of two groups were compared.Results Ulnar angle,palmar angle and radius height after treatment of two groups were higher than those before treatment,the ulnar displacement was lower than that before treatment,and the differences were statistically significant(P<0.05).Ulnar angle,palmar angle and radius height after treatment in the observation group were higher than those in the control group,the ulnar displacement was lower than that in the control group,and the differences were statistically significant(P<0.05).The score of wrist joint function after treatment of two groups were higher than that before treatment,the score of pain of two groups were lower than that before treatment,and the differences were statistically significant(P<0.05).The score of wrist joint function after treatment in the observation group was higher than that in the control group,the score of pain was lower than that in the control group,and the differences were statistically significant(P<0.05).The excellent rate after treatment in observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).ConclusionCompared with manual reduction plaster external fixation,surgical treatment has better effect in the treatment of distal radius fracture and can improve joint function,which has high safety and is worthy of clinical application.
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