摘要
目的：分析采用于法复位石膏外围定腕关节的不同位置治疗Colles骨折的临床疗效及解剖生物力学依据。方法：回顾选择426例Colles骨折移位的患者，采用手法复位分别石膏外固定腕关节于腕屈位和腕伸位，其中腕屈位固定196例，腕伸位固定230例。经过6个月～4年，平均2．4年的随访，对比骨折再移位率；骨折愈合后，根据Gatrlandand Werley评分法评定腕关节功能，对比其优良率。结果：石膏外固定腕关节于腕伸位骨折再移位率低（P〈0．01），腕关节功能优良率高（P〈0．01）。结论：手法复位石膏外固定腕关节于腕伸位治疗Colles骨折再移位率低，疗效好，可获得好的腕关节功能，且并发症少。
Objective To analyze the treatment outcomes of colles＇ fractures with the piaster immobilization on wrist in different position after mechanical reduction and the evidences of anatomy and biomechanics. Method A retrospective analysis was on a total of 426 patients suffering from dislocation colles＇ fractures treated with the plaster immobilization of the wrist in dorsal - flexed position and palmar flexed position after mechanical reduction. A hundred and ninety - six of them were immobilized the wrist in palmar flexed position, others were immobilized the wrist in dorsal -flexed position. They were followed up for 0. 5 - 4 years, with an average of 2.4 years. The re -dislocation cases and the excellent and good results was assessed by Gatrland and Werley score. Results The plaster immobilization of the wrist in dorsal - flexed position had less re - dislocation cases （ P 〈 0. 01 ） and more excellent and good results （ P 〈 0.01 ）. Conclusion The plaster immobilization of the wrist in dorsal - flexed position after reduction treating colles＇ fractures has better outcomes ,less complication. The functions of wrist recover well.
出处
《吉林医学》
CAS
2010年第13期1761-1763,共3页
Jilin Medical Journal
