Clinical Observation Of Recent Cure Effects Of The Distal Radius Of The Aged With Assembled External Fixation Instrument

Objective:Application of Assembled external fixation and limited internal fixation to C type fractures of the distal Radius of the Aged and to assess its efficacy, provide the basis in choice for the_treatment of the distal Radius of the Aged in clinical.Methods:A prospective randomized controlled study, selected according to diagnostic criteria, inclusion criteria without exclusion criteria 44 patients were randomly divided into 2 groups, treatment group (Group A) was treated by manipulative reduction of FoShan hospital of TCM, assembled fixator and limited internal fixation;The contorl group (Group B)was treated by open reduction and locked plate fixation. Operation time and postoperative complications including early period the two groups were observed and compared, Acounted and evaluated the rang of motion in observal periods of wrist, image radiographic grade, and Dienst score.Results:44 patients were followed up, lost one lost in Group A, Group B two, one dead for Cardiovascular disease,40 patients have completly follow-up datas. All patients were followed up for 12-15 weeks, average 13 weeks. The operating time of Group A was 76.86±8.82min, Group B 89.74±10.84min, there was statistically significant (P<0.05). The wrist dorsiflexion activity of Group A after operation 12 weeks was 40.52±9.72°,Group B was 29.79±7.18°, there was statistically significant (P<0.05); The wrist palmarflexion activity of Group A after operation 12 weeks was 51.05±8.82°.Group B was 40.68±7.27°, statistically significant (P<0.05). The rate of fine and good in the Steward-Aro radiological evaluation Postoperative of Group A was 95.2%, Group B was 89.5%, there was no significant difference (P> 0.05) after operation 2 weeks. The rate of fine and good in the Steward-Aro radiological evaluation Postoperative of Group A was 85.7%, Group B was 78.9%, there was no significant difference (P> 0.05) after operation 12 weeks. The rate of fine and good in the Dienst wrist function score 12 weeks after operation of Group A was 85.7%, Group B was 52.6%, there was statistically significant between the two (P <0.05).Conclusion:The two groups in early complications, fracture reduction imaging score were found no significant difference. However, Group A has significant andvantage in wrist dorsiflexion activity,palmarflexion activity and the Dienst wrist function score compared with group B, Which can be certified Assembled external fixation and limited internal fixation is a good treatment of C type fractures of the distal Radius of the Aged.