Clinical Observation On Treatment For The Colles Fracture Combine Wrist Dorsal Subluxation By Splintage Method

In this study, by comparing the Colles fracture combined with dorsal subluxation of wrist splints wrist in neutral position by small palm Qu Chi deviation and fixation methods for clinical efficacy. The two fixed methods of fracture of the prognosis of this type to guide the rational use of small plates.The 40 patients met the inclusion criteria of fresh closed Colles wrist fracture patients with dorsal subluxation of the 21 patients were randomly divided into test group and control group 19 cases, manual reduction for small splints after the test group fixed on the wrist neutral position, feet Partial (≤=10°), the control group fixed on the palm Qu Chi mild deviation (all^ 20°). Were recorded before and after treatment of symptoms, signs and treatment of complications arising in the situation; under the X line is measured to determine the lateral films before the reset, reset, and except to the fixed value of wrist radial shortening, palm angle, feet Angle, midpoint displacement and vertical ratio of the change, with the Gartland and Werley scoring assessment of functional recovery of the wrist. The data are used SPSS13.0 statistical software for data analysis.1,Comparability of cases Patients met the inclusion criteria were enrolled 40 patients. The two groups in gender, age, affected side of the distribution, damage and injury time because there was no significant difference (P> 0.05), selected test cases meet the requirements of the program and the statistical analysis, with equilibrium, comparable.2,Comparison of a fixed time to remove a small splint Experimental group (wrist in neutral position) to remove a small splint fixed time than the control group (palm Qu Chi deviation) (P<0.05), that Colles fracture combined with dorsal subluxation of wrist splints wrist in neutral position by small fixed more conducive to early splint removal.3,The two groups before and after restoration and to compare a fixed angle after the palm The two groups in the entire complex before and after restoration, the entire complex before and after the palm angle compared to the fixed (P all<0.05), palmar angle before and after the resumption of the whole complex was no significant difference (P all>0.05), to fixed between the two groups was significant difference (P<0.05).4,The two groups before and after restoration to be fixed ulnar deviation and radial shortening of the comparison of bone The two groups in the entire complex before and after restoration, the entire complex to be fixed before and ulnar deviation and radial shortening compared (P all<0.05), two groups of patients before and after restoration to the fixed short-ulnar deviation and radial There was no significant reduction difference (P all) 0.05).5,After removal of the fixed, Test group was 100% correct instability, instability in the control group rate of 73.6% correct, indicating that the test group after the removal of fixed dorsal subluxation correction on the wrist than the control group (P<0.05).6,Comparison of wrist function Test group was 85.7% excellent, excellent rate of 57.9% in control group, two groups was significant difference (P<0.05).Colles fracture combined with dorsal subluxation of the wrist fixed in the wrist after closed reduction neutral, ulnar deviation (≤10°),with safety, stable fixation, the wrist joint function recovered well, it is worth clinical marketing advantages。...