[1]桂光明,曹波,张惠,等.石膏托和小夹板外固定对Colles骨折复位后短期位置丢失的影响[J].中医正骨,2016,28(04):19-21，24.
　GUI Guangming,CAO Bo,ZHANG Hui,et al.Effect of plaster slab external fixation and small splint external fixation on short-term position loss after reduction of Colles fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):19-21，24.
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石膏托和小夹板外固定对Colles骨折复位后短期位置丢失的 影响()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年04期
页码:
19-21，24
栏目:
临床研究
出版日期:
2016-04-20

文章信息/Info

Title:
Effect of plaster slab external fixation and small splint external fixation on short-term position loss after reduction of Colles fractures
作者:
桂光明; 曹波; 张惠; 杨建; 李强
鄂东医疗集团黄石市中医医院,湖北 黄石 435000
Author(s):
GUI Guangming; CAO Bo; ZHANG Hui; YANG Jian; LI Qiang
Huangshi hospital of traditional Chinese medicine of Edong medical group,Huangshi 435000,Hubei,China
关键词:
桡骨骨折;  Colles骨折;  正骨手法;  石膏; 外科;  小夹板固定
Keywords:
radius fractures;  Colles' fracture;  bone setting manipulation;  casts; surgical;  small splint fixation
摘要:
目的:探讨石膏托和小夹板外固定对Colles骨折复位后短期位置丢失的影响。方法:将261例Colles骨折患者随机分为2组,手法复位骨折后,2组分别用前臂石膏托和小夹板固定患肢于腕关节掌屈尺偏位。分别于治疗后即刻和治疗后1周,拍摄患肢腕部正侧位X线片,测量掌倾角和尺偏角。以治疗后1周患侧掌倾角或尺偏角与治疗后即刻相比变化>5°作为判定骨折再移位的标准,比较2组患者骨折再移位的发生率。结果:治疗后即刻,石膏托组掌倾角8°～18°(中位数14°),尺偏角15°～30°(中位数21°); 小夹板组掌倾角8°～20°(中位数13°),尺偏角12°～31°(中位数22°)。治疗后1周,石膏托组掌倾角8°～18°(中位数13°),尺偏角15°～30°(中位数20°); 小夹板组掌倾角8°～20°(中位数12°),尺偏角12°～30°(中位数21°)。石膏托组并发骨折再移位5例,小夹板组并发骨折再移位12例,石膏托组的骨折再移位发生率低于小夹板组(χ2=6.213,P=0.013)。结论:手法复位外固定治疗Colles骨折,采用石膏托固定较小夹板固定更有利于维持骨折端的稳定。
Abstract:
Objective:To explore the effect of plaster slab external fixation and small splint external fixation on short-term position loss after reduction of Colles fractures.Methods:Two hundred and sixty-one patients with Colles fractures were randomly divided into 2 groups and were treated with manipulative reduction and external fixation with antebrachial plaster slab(plaster slab group)or small splint(small splint group).The affected limbs were fixed at wrist flexion and ulnar position.The anteroposterior and lateral X-ray films of wrists in affected limbs were taken immediately post-treatment and at 1 week after the treatment respectively,and the volar tilt angles and radial inclination angles were measured.The incidence rate of fracture re-displacement was compared between the 2 groups by using the difference of volar tilt angle or radial inclination angle of >5 degrees between post-treatment and at 1 week after the treatment as the judgement standard of fracture re-displacement.Results:The volar tilt angles ranged from 8 to 18 degrees(Median=14 degrees)and the radial inclination angles ranged from 15 to 30 degrees(Median=21 degrees)in plaster slab group immediately post-treatment,while the volar tilt angles ranged from 8 to 20 degrees(Median=13 degrees)and the radial inclination angles ranged from 12 to 31 degrees(Median=22 degrees)in small splint group immediately post-treatment.The volar tilt angles ranged from 8 to 18 degrees(Median=13 degrees)and the radial inclination angles ranged from 15 to 30 degrees(Median=20 degrees)in plaster slab group at 1 week after the treatment,while the volar tilt angles ranged from 8 to 20 degrees(Median=12 degrees)and the radial inclination angles ranged from 12 to 30 degrees(Median=21 degrees)in small splint group.The fracture re-displacement were found in plaster slab group(5 cases)and small splint group(12 cases),and the incidence rate of fracture re-displacement was lower in plaster slab group compared to small splint group(χ2=6.213,P=0.013).Conclusion:The plaster slab fixation is more conducive to the stabilization of broken ends of fracture bone compared to small splint fixation in treatment of Colles fractures with manipulative reduction and external fixation.

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通讯作者:曹波 E-mail:high8171@126.com
更新日期/Last Update: 2016-08-30