临床骨科杂志2018，Vol.21Issue(3)：313-315,3.DOI:10.3969/j.issn.1008-0287.2018.03.022
两种石膏固定治疗桡骨远端骨折的效果比较
Comparison effect of two kinds of plaster fixation in the treatment of distal radius fractures
李建龙 1陈一安 1苏奇1
作者信息
- 1. 泉州医学高等专科学校附属人民医院骨科,福建 泉州362000
- 折叠
摘要
Abstract
Objective To investigate whether there is difference in the treatment of distal radius fractures between the plaster cast and plaster slab fixation. Methods The 51 cases of distal radius fractures underwent plaster cast fixation (29 cases) and plaster slab fixation(22 cases). Primary plaster fixation was 20 cases and 31 cases underwent sec-ondary plaster fixation. The radius palmar inclination, ulnar inclination and radius shortening of distal radius fractures were measured in PACS system on the X-ray film, when distal radius fractures, primary plaster fixation, secondary plaster fixation and after fracture healing. Results The radius shortening after fracture healing as (2.45±2.19) mm was more shorten than the radius shortening of primary plaster fixation as (1.14±1.30) mm, the shortening de-gree was further intensified, the difference had statistical significance between the two groups(P＜0.05). The inci-dence rate of radius shortening had no statistical significance between the plaster cast group and plaster slab group af-ter fracture healing(P＞0.05). The incidence rate of radius shortening had no statistical significance between prima-ry plaster fixation group and secondary plaster fixation group after fracture healing(P＞0.05). But the radius shorten-ing of primary plaster fixation group was(2.00±1.26) mm after fracture healing, and the secondary plaster fixation group was(2.75±2.60) mm,the difference had statistical significance between the two groups(P＜0.05). Conclu-sions Manual reduction and plaster external in fracture of distal radius have significant radius shortening. The treat-ment effects have no difference between the plaster cast and plaster slab. A premature secondary plaster fixation may exacerbate the radius shortening.关键词
桡骨骨折/石膏固定Key words
radial fractures/plaster fixation分类
医药卫生引用本文复制引用
李建龙,陈一安,苏奇..两种石膏固定治疗桡骨远端骨折的效果比较[J].临床骨科杂志,2018,21(3):313-315,3.
