手法整复夹板固定与阶梯性康复训练联合治疗老年桡骨远端骨折的临床效果OA

Objective:To explore the clinical effect of manipulative reduction and splint fixation combined with stepped rehabilitation training in the treatment of distal radius fracture in elderly.Method:A total of 131 elderly patients with distal radius fracture who admitted to Jian'ou Municipal Hospital from January 2020 to August 2023 were selected as the research objects,they were divided into the control group(n=65)and the study group(n=66)according to the random number table method.Two groups were treated with manipulative reduction and splint fixation,the control group was given routine rehabilitation training,and the study group was given stepped rehabilitation training.The treatment effect,rehabilitation time,pain degree,wrist function and quality of life were compared between two groups.Result:The total effective rate of treatment in the study group was 96.97%,which was higher than 87.69%in the control group,and the difference was statistically significant(χ2=3.998,P=0.046).The swelling elimination time,fracture healing time and hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of visual analogue scale(VAS)in two groups were lower than those before treatment,and those in the study group were lower than the control group,the scores of pain,grip strength,function,dorsiflexion/palmar flexion activity,physiology,body,emotion and society in two groups were higher than those before treatment,and those in the study group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:After manipulative reduction and splint fixation for elderly patients with distal radius fracture,stepped rehabilitation training is helpful for fracture healing,and the clinical effect is remarkable.