摘要
目的比较Colles骨折行掌屈尺偏位及中立位固定的腕部功能恢复的效果。方法80例闭合性新鲜Colles骨折患者随机分成两组(n=40),手法复位后予石膏外固定,治疗组固定于腕中立位,对照组固定于掌屈尺偏位。结果治疗组总有效率、腕关节背伸功能优良率及总体功能优良率分别为92.5%、57.5%及67.5%,分别优于对照组的62.5%、25.0%及35.0%(P<0.05)。掌屈功能优良率,治疗组与对照组分别为62.5%和55.0%,组间比较无统计学差异(P>0.05)。结论Colles骨折手法复位后于中立位固定,操作简单,固定可靠,骨周围肌、肌腱松弛,可缩短骨折愈合时间,有利于功能恢复。
Objective To compare the effect of wrist functional recovery of Cotton-Lorder position fixation with neutral position fixation in Colles fractures.Methods 80 cases with closed and fresh Colles fracture were randomized into observation group and control group,with 40 cases for each.After satisfied manipulative reduction,plaster external fixation was fixed in neutral position of observation group and Cotton-Lorder position of control group.Results The fineness rates of curative effects on local symptom,carpal dorsi-extension function,and integral carpal function were 92.5%,57.5% and 67.5% respectively in observation group,and were obviously higher than 62.5%,25.0% and 35.0% in control group（P〈0.05）.The fineness rates of metacarpal flexion were 62.5% and 55.0% respectively in observation group and control group,and there was no significant difference between the two groups（P〉0.05）.Conclusion The neutral position fixation can loose the muscle and tendon around wrist,relieve engorgement and improve the carpal function restoration,and it is a simple and reliable fixed method for Colles fracture.
出处
《中国现代手术学杂志》
2008年第1期52-54,共3页
Chinese Journal of Modern Operative Surgery
