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[1]桂光明,曹波,張惠,等.石膏托和小夾板外固定對(duì)Colles骨折復(fù)位后短期位置丟失的影響[J].中醫(yī)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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石膏托和小夾板外固定對(duì)Colles骨折復(fù)位后短期位置丟失的 影響()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年04期
頁(yè)碼:
19-21，24
欄目:
臨床研究
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; 張惠; 楊建; 李強(qiáng)
鄂東醫(yī)療集團(tuán)黃石市中醫(yī)醫(yī)院,湖北 黃石 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
關(guān)鍵詞:
橈骨骨折;  Colles骨折;  正骨手法;  石膏; 外科;  小夾板固定
Keywords:
radius fractures;  Colles' fracture;  bone setting manipulation;  casts; surgical;  small splint fixation
摘要:
目的:探討石膏托和小夾板外固定對(duì)Colles骨折復(fù)位后短期位置丟失的影響。方法:將261例Colles骨折患者隨機(jī)分為2組,手法復(fù)位骨折后,2組分別用前臂石膏托和小夾板固定患肢于腕關(guān)節(jié)掌屈尺偏位。分別于治療后即刻和治療后1周,拍攝患肢腕部正側(cè)位X線片,測(cè)量掌傾角和尺偏角。以治療后1周患側(cè)掌傾角或尺偏角與治療后即刻相比變化>5°作為判定骨折再移位的標(biāo)準(zhǔn),比較2組患者骨折再移位的發(fā)生率。結(jié)果:治療后即刻,石膏托組掌傾角8°～18°(中位數(shù)14°),尺偏角15°～30°(中位數(shù)21°); 小夾板組掌傾角8°～20°(中位數(shù)13°),尺偏角12°～31°(中位數(shù)22°)。治療后1周,石膏托組掌傾角8°～18°(中位數(shù)13°),尺偏角15°～30°(中位數(shù)20°); 小夾板組掌傾角8°～20°(中位數(shù)12°),尺偏角12°～30°(中位數(shù)21°)。石膏托組并發(fā)骨折再移位5例,小夾板組并發(fā)骨折再移位12例,石膏托組的骨折再移位發(fā)生率低于小夾板組(χ2=6.213,P=0.013)。結(jié)論:手法復(fù)位外固定治療Colles骨折,采用石膏托固定較小夾板固定更有利于維持骨折端的穩(wěn)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.

參考文獻(xiàn)/References:

[1] Diaz-Garcia RJ,Chung KC.Common myths and evidence in the management of distal radius fractures[J].Hand Clin,2012,28(2):127-133.
[2] 姜保國(guó),龍奎元,張殿英,等.橈骨遠(yuǎn)端骨折的治療策略[J].中華創(chuàng)傷骨科雜志,2004,6(10):1118-1121.
[3] 羅曉,宋敏,宋志靖.Colles骨折常見(jiàn)并發(fā)癥及防治[J].中醫(yī)正骨,2009,21(12):71-74.
[4] 竺緯,馬輝,魏強(qiáng),等.三種不同方法治療不穩(wěn)定性橈骨遠(yuǎn)端骨折的療效分析[J].中國(guó)矯形外科雜志,2008,16(24):1904-1906.
[5] 譚平先,葉淦湖,侯之啟,等.鋼板與外固定架治療橈骨遠(yuǎn)端不穩(wěn)定骨折的療效分析[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2011,26(1):35-37.
[6] Wadsten MA,Sayed-Noor A,Englund E,et al.Cortical comminution in distal radial fractures can predict the radiological outcome: a cohort multicentre study[J].Bone and Joint Journal,2014,96-B(7):978-983.
[7] 田沛榮.Colles骨折復(fù)位后骨折端再移位的影像學(xué)評(píng)價(jià)[D].太原:山西醫(yī)科大學(xué),2012.
[8] 郭世明,石玲玲,郭志民,等.手法復(fù)位石膏外固定和切開(kāi)復(fù)位鋼板內(nèi)固定治療骨質(zhì)疏松性橈骨遠(yuǎn)端骨折的比較研究[J].中醫(yī)正骨,2015,27(4):15-20.
[9] Frykman G..Fracture of the distal radius including sequelae—shoulder-hand-finger syndrome,disturbance in the distal radio-ulnar joint and impairment of nerve function.A clinical and experimental study[J].Acta Orthop Scand,1967,108:3.
[10] 王人彥,張玉柱,孟春,等.伸直型橈骨遠(yuǎn)端骨折兩種外固定治療的比較研究[J].中國(guó)中醫(yī)骨傷科雜志,2013,21(8):13-15.
[11] 謝杰偉,林涌鵬.兩種不同固定方式對(duì)老年橈骨遠(yuǎn)端骨折腕關(guān)節(jié)功能康復(fù)的評(píng)價(jià)[J].新中醫(yī),2014,46(8):83-84.
[12] 徐愛(ài)民,陳切森,袁立夫.中醫(yī)治療Colles骨折臨床體會(huì)[J].遼寧中醫(yī)藥大學(xué)學(xué)報(bào),2007,9(3):142-143.
[13] Duncan SF,Weiland AJ.Minimally invasive reduction and osteosynthesis of articular fractures of the distal radius[J].Injury,2001,32(Suppl 1):SA14-SA24.
[14] 章曉云,陳躍平,龍飛攀,等.手法復(fù)位小夾板固定結(jié)合中醫(yī)三期辨證用藥治療伸直型橈骨遠(yuǎn)端骨折367例[J].中醫(yī)正骨,2014,26(12):37-39.
[15] 陳建良,張龍君,朱少兵,等.橈骨遠(yuǎn)端骨折保守治療失敗原因探討[J].浙江創(chuàng)傷外科,2015,20(3):574-575.
[16] 李紹良,貢小英.對(duì)保守治療橈骨遠(yuǎn)端骨折穩(wěn)定性的評(píng)價(jià)[J].中華醫(yī)學(xué)雜志,2006,86(11):759-762.

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通訊作者:曹波 E-mail:[email protected]
更新日期/Last Update: 2016-08-30