[Comparison of the curative effect between over-elbow splint and traditional small splint fixation in the treatment of comminuted Colles fracture]
العنوان: | [Comparison of the curative effect between over-elbow splint and traditional small splint fixation in the treatment of comminuted Colles fracture] |
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المؤلفون: | Min, Chen, Teng-Hui, Li, Guang-Ping, Huang, Hui, Liu |
المصدر: | Zhongguo gu shang = China journal of orthopaedics and traumatology. 30(3) |
سنة النشر: | 2016 |
مصطلحات موضوعية: | Adult, Aged, 80 and over, Male, Splints, Fracture Fixation, Elbow, Humans, Colles' Fracture, Female, Middle Aged, Fractures, Comminuted, Aged |
الوصف: | To analyze the clinical efficacy of over-elbow small splint fixation for the treatment of comminuted Colles fractures.From October 2013 to October 2015, 52 patients with comminuted Colles fracture were divided into two groups (the traditional splint fixation group and the over-elbow small splint fixation group) according to the treatment strategy. There were 26 patients in the over-elbow small splint fixation group including 7 males and 19 females with an average age of (64.615±11.475) years old ranging from 38 to 85 years old, and 26 patients in the traditional splint fixation group including 9 males and 17 females with an average age of (65.269±13.162) years old ranging 36 to 91 years old, respectively. In the over-elbow small splint fixation group, 3 cases were type A3 fractures, 9 cases were type C1, 7 cases were type C2 and 7 cases were type C3;in the traditional splint fixation group, 4 cases were type A3, 8 cases were type C1, 9 cases were type C2 and 5 cases were type C3. After manipulative reduction, the fractures in traditional splint fixation group were fixed with traditional small splint, and the fractures in over-elbow small splint fixation group were added with over-elbow right angle splint for the first three weeks, then continued fixing like the control group until clinical cicatrization. All patients in both groups were regularly taken X-ray examination and changed dressings to obtain the clinical healing. Patients were guided to do functional exercise after splints were taken off. The therapeutic effects were evaluated according to modified Green and O'Brein score system after 8 weeks' functional exercise.All patients got clinical healing without severe complications in both groups. The shortened length of radius in traditional splint fixation group was more than that in over-elbow small splint fixation group (5.923±1.978) mm VS (2.962±1.248) mm(Over-elbow small splint fixation is better than traditional splint fixation for the treatment of comminuted Colles fracture because of reliable clinical result and excellent wrist functional recovery. |
تدمد: | 1003-0034 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=pmid________::f5a80e0681619ae478d964986f3c2070 https://pubmed.ncbi.nlm.nih.gov/29349959 |
رقم الأكسشن: | edsair.pmid..........f5a80e0681619ae478d964986f3c2070 |
قاعدة البيانات: | OpenAIRE |
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