Effects Clinical Record Of Both Clamping Plank Fixation And Plaster Fixation Treatments On C-type Distal Radius Fractures After Repositioning Maneuver

Objective: Followed up by clinical studies, preliminary evaluation of theway the two small splint fixation and cast immobilization method is effectivein the treatment of distal radius fractures, and through literature review,reading books, learning distal radial fracture anatomy and physiologycharacteristics and treatment Note that the issue should be restored, thusestablishing a preliminary sense of the ideas and methods of clinicalresearch.Methods:Between September2012to November2013, after the manualreduction using a small splint or plaster external fixation has69cases,due to special circumstances, two cases have not been followed up, and theremaining67patients were followed up for success male:14, female:53patients, aged47to78years, with an average age of64.6years. Plastergroup of25patients,42patients splint. Two groups of patients were infront by a reset, reset and fracture healing after measuring palmar angle,distal radial ulnar deviation and relative height and record the specificcircumstances related fractures in patients with functional exerciseguidance, and removal by removing the fixed time outside after the lastfollow-up wrist external fixation functional recovery, assessed the therapeutic effect, restore assess the effect of the reference evaluationcriteria Gartland and Wer1key wrist function:"The excellent: wrist functionscore of0to2points, the indicators have been significantly improvements;Orleans: wrist function score at3-8points, with the indicators are improving;may: wrist function score of9to20points, some indicators improved;difference: wrist function score>20points each evaluation indicatorsimprove significantly enough. analyze differences in the characteristics ofthe two groups of cases of disease and efficacy of the method of statisticalanalysis.Results:67cases of patients were followed up for4-8months time,theaverage follow-up of approximately five months. Get the effect of the currentaverage time of4.5months, all patients have received bone fracture healing，Fixtures were dismantled after fracture healing. Data analysis by SPSS19.0comparing before and after the reset, the distal radius fracture healingimaging when measuring angles, as well as comparative analysis of Gartlandand Wer1key wrist function score, draw relevant conclusions. By Gartland andevaluation criteria Wer1key wrist function of wrist function evaluation, castimmobilization group of25patients, excellent in3cases, good in12cases,8cases and poor in2cases; excellent rate was60.0%;42patients splint,excellent in11cases, good in24cases,6cases, poor in1case; excellentrate was83.3%. The clinical effect of the two treatments were significantlydifferent.Conclusion: After comparing clinical research and data analysis, distalradial fracture after reduction, the use of fixed patient better than plastersplint fixed splint can be more effective in maintaining a reset, and moreconducive to healing wrist fracture functional recovery.