Clinical Comparison Of Two Methods In The Treatment Of Unstable Fractures Of The Distal Radius

Objective: By comparing the curative effects of two different treatments, closedreduction and external fixation, and open reduction and fixation with plates and screwswhich in the treatment of unstable fractures of distal radius, this paper is to judge theadvantages and disadvantages of these two treatments, seek the better way to thetreatment of unstable fractures of distal radius.Methods: This paper is to select60cases of unstable fractures of distal radius, thepatients aged from36to73years old, in the Affiliated Hospital of Yan’an Universityduring January,2011and March,2014. According to different treatments, they aredivided into Group A, the group of closed reduction and external fixation, and Group B,the group of open reduction and internal fixation,30patients for each.Two groups of patients are treated with different methods, respectively, the basicinformation of the patients and phone number are recorded, and patients imaging aremainly retained, including the information of diagnosis, after surgery,2weeks later,6weeks later and X-ray in3month. By observing patients with fracture shift conditionagain, palmar titling angle and ulnar inclination angle changes, the complication rate offracture, fracture healing time, wrist function judging in the last following-up vist, thedistal radioulnar joint stability and patients’ quality of life and their satisfaction, thispaper is to compare the various statistical data, the advantages and disadvantages of eachtreatment to find out the better treatment plan.Result: Through comparing the external fixator group with the open reduction andinternal fixation group, a statistical significant difference (P<0.05) in the effects of twodifferent methods (radial length recovery, recovery of the palmar titling angle and ulnarinclination angle) is found. The effective rate of external fixation was95%, while the effective rate of open reduction and internal fixation group was97%. Two groups ofpostoperative fracture shift again have statistical significance. The overall incidence ofcomplications of shoulder-hand syndrome, traumatic arthritis was not statisticallysignificant. Last following-up the score of wrist function have no statistical significance.The differences of the two groups of patients’ quality of life and patients’ satisfactionare statistically significant.Conclusion:1.Both closed reduction and external fixation and open reduction and internalfixation are effective methods for the treatment of unstable distal radius fractures.2.The shift probability after external fixation is greater than the internal fixationgroup.3.Concurrent overall incidence rate between the two groups was not statisticallysignificant4.Wrist joint function at last following-up (11months on average) is no significantdifference statistically.5.In terms of patient’ s satisfaction, the external fixation is more susceptible bypatients.6.The individualized treatment plan should be formulated according to the type offracture of patients and specific conditions and requirements.