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[1]莫軍杰,孫奇,周君鵬,等.老年伸直型橈骨遠端骨折手法復位夾板外固定治療后骨折移位的危險因素分析[J].中醫(yī)正骨,2021,33(08):12-15.
　MO Junjie,SUN Qi,ZHOU Junpeng,et al.Analysis of risk factors for fracture displacement after manipulative reduction and splint external fixation for treatment of straighten distal radius fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(08):12-15.
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老年伸直型橈骨遠端骨折手法復位夾板外固定治療后骨折移位的危險因素分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年08期
頁碼:
12-15
欄目:
臨床研究
出版日期:
2021-08-20

文章信息/Info

Title:
Analysis of risk factors for fracture displacement after manipulative reduction and splint external fixation for treatment of straighten distal radius fractures in the aged
作者:
莫軍杰; 孫奇; 周君鵬; 裘曉東; 孫曉; 陳金洪; 張玉良
(杭州市富陽中醫(yī)骨傷醫(yī)院,浙江 杭州 311400)
Author(s):
MO Junjie; SUN Qi; ZHOU Junpeng; QIU Xiaodong; SUN Xiao; CHEN Jinhong; ZHANG Yuliang
Fuyang TCM Orthopedic-Traumatological Hospital,Hangzhou 311400,Zhejiang,China
關鍵詞:
Colles骨折;  正骨手法;  小夾板固定;  危險因素;  Logistic模型
Keywords:
Colles’ fracture;  bone setting manipulation;  small splint fixation;  risk factors;  logistic models
摘要:
目的:探討老年伸直型橈骨遠端骨折手法復位夾板外固定治療后骨折移位的危險因素。方法:選擇298例采用手法復位夾板外固定治療的老年伸直型橈骨遠端骨折患者,從病歷系統(tǒng)中提取性別、就診年齡、受傷至就診時間、患側是否為利手側、治療前橈骨短縮程度和掌傾角、橈骨遠端背側是否粉碎、是否合并尺骨莖突骨折、固定后患肢是否懸吊、是否聯(lián)合口服中藥治療、外固定時間及骨折移位情況等信息。按照骨折移位情況將患者分為移位組和未移位組,先對2組患者的相關信息進行單因素分析,然后對篩選出的因素進行Logistic多因素回歸分析。結果:移位組60例,未移位組238例。2組患者的性別、患側為利手側、橈骨短縮、掌傾角、橈骨遠端背側粉碎、尺骨莖突骨折情況比較,組間差異均有統(tǒng)計學意義(χ2=20.560,P=0.000; χ2=4.387,P=0.036; t=-6.650,P=0.000; t=3.423,P=0.001; χ2=65.971,P=0.000; χ2=117.720,P=0.000); 2組患者的年齡、受傷至就診時間、患肢懸吊、外固定時間及口服中藥治療情況比較,組間差異均無統(tǒng)計學意義(t=0.610,P=0.542; χ2=0.614,P=0.433; χ2=0.007,P=0.931; χ2=0.308,P=0.579; χ2=0.088,P=0.767)。Logistic多因素回歸分析顯示,性別、橈骨短縮、橈骨遠端背側粉碎、尺骨莖突骨折均為老年伸直型橈骨遠端骨折手法復位夾板外固定治療后骨折移位的危險因素(P=0.018,OR=3.634; P=0.039,OR=1.369; P=0.000,OR=5.167; P=0.000,OR=13.763)。結論:性別、橈骨短縮、橈骨遠端背側粉碎、尺骨莖突骨折是老年伸直型橈骨遠端骨折手法復位夾板外固定治療后骨折移位的危險因素。
Abstract:
Objective:To explore the risk factors for fracture displacement in the aged patients who undergo manipulative reduction and splint external fixation for treatment of straighten distal radius fractures(DRFs).Methods:Two hundred and ninety-eight aged patients who underwent manipulative reduction and splint external fixation for treatment of straighten DRFs were selected,and their information about gender,age,time from injury to visiting,the affected side in handedness side or not,pretreatment radial shortening degree and volar tilt angle,distal radius fractures(DRFs)with dorsal comminution or not,combining with ulnar styloid fractures(USFs)or not,suspension of the affected limbs or not after fixation,treatment with oral application of TCM or not,external fixation time and fracture displacement were extracted from the electronic medical record system(EMRS)for analysis.All patients were divided into the displaced group(60 cases)and undisplaced group(238 cases)according to whether the fracture displacement happened after manipulative reduction and splint external fixation.The single-factor analysis was conducted on the extracted information for screening the risk factors affecting fracture displacement,followed by logistic multi-factor regression analysis on the screened risk factors.Results:There was statistical difference in gender,affected side in handedness side,radial shortening,volar tilt angle,dorsally comminuted DRFs,USFs between the 2 groups(χ2=20.560,P=0.000; χ2=4.387,P=0.036; t=-6.650,P=0.000; t=3.423,P=0.001; χ2=65.971,P=0.000; χ2=117.720,P=0.000); while there was no statistical difference in age,time from injury to visiting,suspension of affected limb,external fixation time and oral application of TCM between the 2 groups(t=0.610,P=0.542; χ2=0.614,P=0.433; χ2=0.007,P=0.931; χ2=0.308,P=0.579; χ2=0.088,P=0.767).The results of logistic multi-factor regression analysis revealed that the gender,radial shortening,dorsally comminuted DRFs and USFs were the risk factors for fracture displacement in the aged patients who underwent manipulative reduction and splint external fixation for straighten DRFs(P=0.018,OR=3.634; P=0.039,OR=1.369; P=0.000,OR=5.167; P=0.000,OR=13.763).Conclusion:The gender,radial shortening,dorsally comminuted DRFs and USFs are the risk factors for fracture displacement in the aged patients who undergo manipulative reduction and splint external fixation for straighten DRFs

參考文獻/References:

[1] 李強,薄連洪,齊國柱,等.3種不同方法治療橈骨遠端骨折的療效分析[J].天津醫(yī)藥,2012,40(4):401-403.
[2] SIRIPAKARN Y,SUNTARAPA T,CHERNCHUJIT B.Multipurpose external fixation for unstable comminuted intraarticular fracture of distal radius[J].J Med Assoc Thai,2013,96(4):446-455.
[3] 陶有洋,焦慶豐.中醫(yī)手法復位加小夾板外固定治療橈骨遠端骨折的效果觀察[J].浙江創(chuàng)傷外科,2018,23(2):308-310.
[4] 楊洪佳,周長友,魏鋼,等.小夾板結合石膏外固定治療橈骨遠端骨折的療效分析[J].中國骨與關節(jié)損傷雜志,2013,28(9):878-879.
[5] 張雄輝,肖智青,王愛明,等.小夾板和石膏托外固定治療橈骨遠端骨折的比較研究[J].中國骨傷,2010,23(8):578-580.
[6] 李端云,張國伏,楊小軍,等.石膏外固定腕關節(jié)不同位置治療Colles骨折的療效分析[J].吉林醫(yī)學,2010,31(13):1761-1763.
[7] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標準[M].南京:南京大學出版社,1994:128.
[8] 胥少汀,葛寶豐,徐印坎.實用骨科學[M].4版.北京:人民軍醫(yī)出版社,2012:576-577.
[9] 徐天人,馬奇翰,高鋒,等.橈骨遠端骨折外固定方法的研究進展[J].中醫(yī)正骨,2019,31(12):40-42.
[10] 李躍,萬春友,徐衛(wèi)國,等.指套懸吊牽引結合手法復位夾板外固定治療新鮮閉合性橈骨遠端骨折[J].中醫(yī)正骨,2018,30(5):50-52.
[11] 鄭軍,辛宗山,操儒道,等.小夾板外固定對不同類型Colles骨折固定效果的對比研究[J].中醫(yī)正骨,2016,28(4):25-28.
[12] 姜志洲,鄭潤杰,萬愛雪.掌壓復位結合壓力墊夾板固定治療新鮮閉合性橈骨遠端屈曲型骨折[J].中醫(yī)正骨,2020,32(6):62-64.
[13] 武慶生,黃阿勇,栗國強.三步整復法小夾板外固定治療老年Colles骨折[J].中醫(yī)正骨,2018,30(3):76-77.
[14] 從慶武,劉磊,王沖,等.持續(xù)牽引下閉合復位克氏針內(nèi)固定治療橈骨遠端骨折[J].中醫(yī)正骨,2017,29(11):74-75.
[15] 王國林,高彥平,樊培新.手法復位經(jīng)皮克氏針內(nèi)固定硫酸鈣填充治療橈骨遠端粉碎性骨折[J].中醫(yī)正骨,2016,28(3):48-49.
[16] TAHRIRIAN M A,JAVDAN M,NOURAEI M H,et al.Evaluation of instability factors in distal radius fractures[J].J Res Med Sci,2013,18(10):892-896.
[17] POIGENFüRST J,TUCHMANN A.Significance of ulnar ligament injuries in typical radius fractures[J].Handchirurgie,1978,10(3):121-125.
[18] WALENKAMP M M,AYDIN S,MULDERS M A,et al.Predictors of unstable distal radius fractures:a systematic review and meta-analysis[J].J Hand Surg Eur Vol,2016,41(5):501-515.
[19] 周建飛,洪定鋼,王小芃,等.橈骨背側骨質(zhì)完整性對伸直型不穩(wěn)定性橈骨遠端骨折的作用分析[J].貴陽中醫(yī)學院學報,2011,3(3):52-54.
[20] 尚崢輝,黃富國,岑石強,等.三角纖維軟骨復合體損傷后腕關節(jié)穩(wěn)定性的生物力學分析[J].中國修復重建外科雜志,2008,22(7):820-823.
[21] LAFONTAINE M,HARDY D,DELINCE P.Stability assessment of distal radius fractures[J].Injury,1989,20(4):208-210.

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備注/Memo

備注/Memo:
基金項目:杭州市科技計劃引導項目(20181228Y146)
通訊作者:孫奇 E-mail:[email protected]
更新日期/Last Update: 1900-01-01