不同外固定方法治疗移位性Colles骨折的稳定性评价

发布时间：2018-03-08 12:44

本文选题：Colles骨折　切入点：手法复位　出处：《中华中医药杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的:比较不同外固定方法治疗移位性Colles骨折的稳定性、临床疗效以及并发症发生率。方法:回顾性分析手法复位满意的移位性Colles骨折197例,根据手法复位后采用的外固定方法不同分为3组:小夹板联合中立板双重外固定组(A组)、小夹板外固定组(B组)和石膏托外固定组(C组)。评价3组外固定的稳定性、临床疗效以及并发症发生率。结果:随访3-18个月,平均9个月。3组外固定的稳定性评价方面,A组显著优于B、C组,B组显著优于C组(P0.05);临床疗效比较,A组显著优于B、C组,B组显著优于C组(P0.05);并发症发生率比较,A组显著低于B、C组,B组显著低于C组(P0.05)。结论:小夹板联合中立板双重外固定方法是治疗Colles骨折较佳的外固定方法之一,该外固定方法稳定性高,可调性好,临床疗效佳,并发症发生率低。
[Abstract]:Objective: to compare the stability, clinical efficacy and incidence of complications of displaced Colles fractures treated with different external fixation methods. According to the external fixation methods adopted after manual reduction, they were divided into three groups: small splint combined with neutral plate double external fixation group (group A), small splint external fixation group (group B) and gypsum plywood external fixation group (group C). The stability of external fixation was evaluated. Clinical efficacy and incidence of complications. Results: 3-18 months follow-up, The stability evaluation of external fixation in group A was significantly better than that in group B, group B was significantly better than group C in terms of the stability of external fixation, the clinical efficacy of group A was significantly better than that of group B and group B was significantly better than that of group C, and the incidence of complications in group A was significantly better than that in group A. Conclusion: small splint combined with neutral plate double external fixation is one of the better external fixation methods for the treatment of Colles fracture. The external fixation method has high stability, good adjustability, good clinical effect and low incidence of complications.
【作者单位】：成都体育学院附属体育医院;中部战区陆军政治工作部体育工作队;成都体育学院郑怀贤骨伤研究所;四川省医学科学院·四川省人民医院;绵竹夏骡子骨伤专科医院;
【分类号】：R683

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