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型骨折的临床效果研究

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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（P<0.05）;the palm inclination angle and ulnar deviation angle of surgery group were higher than those of non-surgery group （P<0.05）;complications were compared between the two groups,and had no statistial significance （P>0.05）.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 treatment of fractures based on the clinical conditions.

Key words： Manipulative reduction Splint external fixation Open reduction and internal fixation Distal radius C-type fracture

Received: 14 June 2017

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R687.3

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	ZENG Xing

Cite this article:

ZENG Xing. 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[J]. 中国当代医药, 2017, 24(25): 75-77.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I25/75

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