Distal Radial Fracture Eiffcacy Of Closed Reduction And Open Reduction Of The Impact Of Wrist Function

Objective Observed distal radial fractures with open reduction and closed reduction oftwo ways wrist function after treatment recovery,and clinical efficacy of these twotreatments.Method From the Affiliated Hospital of Shandong University of Traditional ChineseOrthopedics choose between November2011-2014February inpatient and outpatientdistal radius fractures were treated with open reduction and closed reduction treatments,according to the Gartland-Werley wrist function score, to observe two the clinical efficacyof therapeutic methods, as well as a preliminary discussion of factors affecting the wristjoint function. According to AO fracture type: A type (extra-articular fracture), B-type(part of intra-articular fracture) C-type (the full-articular fractures). Open reductiongroup (A)24cases,8males and16females, age (69.13±3.21) years old, A-type sixcases, B-15cases, C-type three cases, the injury caused by the operation time (3±2)days. Closed reduction (group B)24cases,6males and18females, age (70.25±2.33)years old, A7cases, B-16cases, C-type one case, the injury caused by manipulativeand small splint external fixation time (1±2) hours. The study by comparing the treatmentof distal radial fractures around the palm inclination, ulnar deviation of the change, activerange of wrist and contralateral percentage, the percentage of grip strength andcontralateral groups of patients, two patients with contralateral pinch strength and the useof percentages Gartland-Werley wrist score system for excellent, good, fair, poor wristfunction to evaluate the situation joints.Results The two groups were followed postoperatively, time is10-14months, theaverage time was11months, surgical incisions group Ⅰhealing. General information twogroups of gender, age, fracture type, etc., the difference was not statistically significant(P>0.05), X-ray examination showed two groups of patients were healed fracture healingtime closed reduction group (11.08±0.83) Week, open reduction group (11.50±0.84)weeks, the difference P>0.05, not statistically significant. Last follow-up, closedreduction group palm inclination, ulnar deviation, radial length, respectively (6.52±0.29) °,(18.32±1.86)°,(8.05±0.45) mm; open reduction group were (9.43±0.86)°,(20.67±0.90)°,(10.51±0.25) mm, the difference P <0.01, there is statistically significant. Lastfollow-up, two active wrist flexion and extension, ulnar and radial partial activity,pronation and supination motion, hand grip and pinch strength difference P>0.05, notstatistically significant. Closed reduction group Gartland-Werley wrist function scoreswere excellent in6cases, good in14cases,3cases and poor in1case, good rate of83.3%; open reduction group were excellent in8cases, good in13cases,2cases poor in1case, good rate of87.5%, the difference P>0.05, not statistically significant.Conclusion Clinical treatment of distal radius fractures, on the anatomical aspects,open reduction has a great advantage, but in the range of active movement of the wrist,grip strength, pinch strength and wrist rated open reduction and closing the reset was notstatistically significance.