Clinical Survey Between Open Reduction And Closed Reduction For The Treatment Of Distal Radial Fractures In Elderly Patients

ObjectiveBy investigating the clinical effect of the treatment of distal radius fractures inelderly patients with open reduction or closed reduction, we provide theoretical basisfor choosing appropriate clinical way for better outcomes.Methods102patients over60years with distal radius fractures in the department oforthopedic of Shenyang Fourth People’s Hospital from August2011to February2014were investigated and their data of demographic characteristics including age,smoking, drinking, hypertension and diabetes were collected. Patients were dividedinto open reduction treatment group and closed reduction treatment group. Patientswere followed-up6months. Wrist functions of the patients were measured andevaluated using Patient Rated Wrist Evaluation (PRWE).Results1. Pain scores of the open reduction in the baseline were (47.9±1.9) and painscores of the closed reduction in the baseline were (48.4±1.4)(P>0.05). Pain scoresof the open reduction after2months were (4.9±3.8) and pain scores of the closedreduction after2months were (24.4±5.8)(P<0.001).Pain scores of the openreduction after6months were (1.8±1.7) and pain scores of the closed reduction after6months were (1.4±1.7)(P>0.05)2. General function scores of the open reduction in the baseline were (38.7±1.4)and general function scores of the closed reduction in the baseline were(7.8±1.9)(P>0.05). General function scores of the open reduction after2monthswere (2.9±1.9) and general function scores of the closed reduction after2monthswere (26.1±2.2)(P<0.001). General function scores of the open reduction after6months were (0.5±0.9) and general function scores of the closed reduction after6months were (0.9±1.3)(P>0.05).3. Special function scores of the open reduction in the baseline were (58.6±2.0) and special function scores of the closed reduction in the baseline were (58.6±2.1)(P>0.05). Special function scores of the open reduction after2months were (4.1±2.2)and special function scores of the closed reduction after2months were(32.5±5.4)(P<0.001). Special function scores of the open reduction after6monthswere (0.9±0.8) and special function scores of the closed reduction after6monthswere (1.2±0.9)(P>0.05).4. Total scores of the open reduction in the baseline were (96.5±3.2) and totalscores of the closed reduction in the baseline were (96.6±2.7)(P>0.05). Totalfunction scores of the open reduction after2months were (8.4±5.5) and total scoresof the closed reduction after2months were (53.7±8.4)(P<0.001). Total functionscores of the open reduction after6months were (2.5±2.5) and total scores of theclosed reduction after6months were (2.4±2.5)(P>0.05).Conclusion1. Pain scores of the open reduction in the baseline were not different to painscores of the closed reduction in the baseline. Pain scores of the open reduction after2months were less than pain scores of the closed reduction after2months. Painscores of the open reduction after6months were not different to pain scores of theclosed reduction after6months.2. General function scores of the open reduction in the baseline were notdifferent to general function scores of the closed reduction in the baseline. Generalfunction scores of the open reduction after2months were better than generalfunction scores of the closed reduction after2months. General function scores of theopen reduction after6months were not different to general function scores of theclosed reduction after6months.3. Special function scores of the open reduction in the baseline were notdifferent to special function scores of the closed reduction in the baseline. Specialfunction scores of the open reduction after2months were better than specialfunction scores of the closed reduction after2months. Special function scores of theopen reduction after6months were not different to special function scores of theclosed reduction after6months.4. Total scores of the open reduction in the baseline were not different to totalscores of the closed reduction in the baseline. Total function scores of the open reduction after2months were better than total scores of the closed reduction after2months. Total function scores of the open reduction after6months were not differentto total scores of the closed reduction after6months.