Comparassion And Analysis Of The Effectiveness After Treatment On Distal Radius Fractures Between Plaster And Splint External Fixation

Objective:To Comparative and analysis the effectiveness after treatment on distal radius fractures between plaster and splint external fixation. To evaluation of the clinical results of plaster and small-splint fixation in the distal radius fractures treatment.Methods:60 cases extension type distal radius fractures were selected, and randomly divided into two groups (group A、B). And the 30 patients in group A were treated with traditional manipulative reduction combined with small-splint fixation, while maintaining the mild wrist palmar flexion, ulnar deviation. Group B were treated with traditional manipulative reduction combined with plaster fixation, while maintaining the mild wrist palmar flexion,ulnar deviation. Then the X-ray films(the wrist anteroposterior and lateral film) were taken in the time before treatment and the first day,the sencond week after the treatment, the sixth week after the treament,the third month after the treatment,the third month after the treatment. Measured two groups of volar tilt angle, ulnar inclination angle and Radial length. And appropriate adjusted the degree of splints, plaster tightness and fracture location based on X-ray film review the situation and fixed case.meanwhile guide the patients functional exercises. The small-splint, plaster were removed after fractures oncrescence and reach the clinical efficiency. We evaluated wrist joints function by Cooney scores and assessed the clinical efficacy synthetically.All the date were analysed by SPSS 18.0 statistical software.Results:All patients were followed up for more than 6 months.Fractures redisplacement were 15cases(group A were 7 cases,group B were 8 cases);RadiaI shortening were 23cases(group A were 13 cases5group B were 10 cases),Experimental patients were achieved bone healing,Fracture healing time:group A was (5.85±1.24) weeks,group B was (6.21±1.57) weeks,group.According to X-ray and cooney scores:group A:8 cases were graded as excellent,18 cases as good and 4 cases as poor, good rate was 86.67%; group B:6cases were graded as excellent,19 cases as good and 5 cases as poor, good rate was 83.33%.Conclusion:The method that plaster and splint external fixation treatment of distal radius radius fracture are effectively.But they cannot effectively maintain a high degree of radial, palm inclination, ulnar deviation,and remains thereplacement effect until fracture healing. It also can not reduce the incidence rate of fracture displacement again.