The Clinical Effect Observation About Impacts On Combined Ulnar Styloid Fracture On The Manual Reduction Splint External Fixation Of Distal Radius Fracture

Objective To analyze the affect of combined ulnar styloid fracture on the therapeutic influence of manual reduction splint external fixation of distal radius fracture,and to explore whether it is necessary to further treat ulnar styloid process fracture.Methods Sixty patients aged 50 to 80 years who underwent manual reduction and splint external fixation of distal radius fractures in the Department of Trauma and Orthopaedics,Shandong Provincial Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were selected.On the basis of the type of fracture,the patients were segmented into two groups: the control group was patients with simple distal radius fracture,and the observation group was patients with distal radius fracture combined with ulnar styloid process fracture,with 30 cases in each group.Both types of patients were disposed with manual reduction splint external fixation.The relevant reexamination information of the cases were gleaned by outpatient follow-up,including the range of motion of the wrist joint,functional recovery and residual pain and other complications.The conney score of the wrist joint was used to assess the recovery of wrist joint function.Through the comparative analysis of the data of each group of patients,the disparities in wrist function,range of motion and complications in the later stage between the two groups were compared to evaluate the necessity of further treatment for combined ulnar styloid process fractures.Results All sufferers were followed up for 3 months,and X-ray showed fracture healing at the last follow-up in the third month after surgery.There was no obvious discrepancy in wrist range of motion and cooney score of wrist function among the two groups at the Last follow-up 3 months after surgery(P > 0.05).Complications such as residual pain: one patient in the control group had blisters,two patients had left ulnar wrist pain,eight patients in the observation group had left ulnar wrist pain,of which two patients had ulnar wrist pain during weight-bearing,wrist joint could not rotate forcefully and other symptoms.Observation group had more complications than control group,and the disparity had statistically significant(P < 0.05)Conclusion Manual reset combined with splint fixation is efficacious in the therapy of distal radius fractures and associated ulnar styloid fractures.Most patients can obtain satisfactory reduction and late functional recovery,but no intervention for ulnar styloid fractures will increase the risk of complications such as residual pain and limited forearm rotation.We should fully communicate with the patient before formulating the treatment plan,clarify the specific requirements of the patient,and consider changing the treatment plan if it is difficult to meet the patient’s expectations.