手法复位石膏固定结合经皮穿针治疗老年桡骨远端骨折的疗效观察

    Clinical efficacy of the closed reduction and plaster fixation combined with percutaneous pinning in the treatment of elderly distal radial fractures

    • 摘要: 目的:探讨手法复位石膏固定后,经皮穿针固定治疗老年桡骨远端骨折的临床疗效。方法:运用手法复位石膏固定36例老年桡骨远端骨折,再行透视下经皮克氏针固定骨折。结果:36例均获随访,时间2~6个月。骨折均获骨性愈合。按照Gartland-Werley腕关节评分标准:优20例,良13例,一般3例,优良率91.7%。Cooney评分系统:优19例,良12例,一般4例,差1例,优良率86.1%。结论:手法复位石膏固定后,再经皮穿针固定是治疗老年桡骨远端骨折的有效方式,创伤小,花费少,疗效可靠。

       

      Abstract: Objective: To investigate the clinical effects of the closed reduction and plaster fixation combined with percutaneous pinning in the treatment of elderly distal radial fractures. Methods: Thirty-six elderly patients with distal radial fractures were treated with the closed reduction and plaster fixation combined with percutaneous pinning. Results: All cases were followed up for 2 to 6 months. All fractures healed. According to Gartland-Werley scoring system, excellent in 20 cases, good in 13 cases and fair in 3 cases were identified, and the excellent and good rate was 91.7%. According to Cooney scoring system, excellent in 19 cases, good in 12 cases and poor in 1 case were identified, and the excellent and good rate was 86.1%. Conclusions: The treatment of elderly distal radial fractures with the closed reduction and plaster fixation combined with percutaneous pinning is effective, little trauma and less cost.

       

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