Clinical Efficacy Analysis Of Three Methods For ConservativeTreatment Of Distal Radius Fractures In The Elderly

Objective: To analyze three external fixation methods after manual reduction of distal radius fractures in the elderly,and to explore the clinical efficacy of the three methods.Methods: 90 patients with conservative treatment of elderly distal radius fractures in Changsha Hospital affiliated to Hunan Normal University from January 2018 to October 2019 were selected as the research subjects.After manual reduction,they were divided into three groups for fixed treatment according to the fixed method: Gypsum fixation group,splint fixation group,gypsum splint combination fixation group(gypsum fixation first,replace splint fixation after 2 weeks).Through outpatient and follow-up visits,the pain and swelling of the affected limbs,radial shortening,palmar tilt,ulnar deflection angle,fracture healing time,Gartland-Werley wrist function evaluation,and complications occurred in the three groups.The effect was analyzed.result:1.There was no statistically significant difference in the general data of the three groups of patients in terms of gender,age,affected side,cause of injury,and time of injury visit(P>0.05).2.The three groups compared the shortening of the radius after reduction and the third month after reduction.The three groups all had radialshortening(P<0.05),indicating that the three groups had axial loss during external fixation.Comparison of palm dip angle and ulnar declination angle in the three groups after reduction with the third month,the palm dip angle and ulnar declination angle at each time in the group were not much different(P>0.05),indicating that the three groups were fixed more firmly.The angular deformity of the ulnar side has a better stability.In the third month,the data of palm dip angle,ulnar deflection angle,and radius shortening were compared between the three groups(P>0.05).The difference was not statistically significant,and the imaging indexes of the three groups were similar after treatment.3.The wrist pain and swelling of the three groups were compared in the early week 1.The splint group was compared with the gypsum group and the gypsum and splint sequential fixation group(P<0.05),indicating that the splint group had obvious pain and swelling.4.The clinical healing time of the three groups of fractures was compared.There was no significant difference in fracture healing time between the gypsum and splint sequential fixation group and the gypsum group and splint group(P>0.05).5.Gartland-Werley wrist function score in the third month of the three groups: 10 cases were excellent in the gypsum group,11 cases were good,and the excellent rate was 78.00%;11 cases were excellent in the splint group,13 cases were good,and the excellent rate was 77.00%;gypsumand splint were sequential In the fixed group,14 cases were excellent,12 cases were good,and the excellent and good rate was 87.00%.There was no statistically significant difference in Gartland-Werley wrist function scores between different groups(P>0.05),indicating that the three groups had better wrist function recovery Effect.6.Complications such as pressure ulcers and blisters occurred earlier in the splint group than in the gypsum fixation group and gypsum and splint sequential fixation group,and late-stage gypsum fixation group had more joint stiffness and other complications than splint group and gypsum and splint sequential fixation group.The overall plaster and splint sequential fixation group had the least complications(P<0.05).In conclusion:The sequential treatment group of gypsum and splint is superior to the group of gypsum and splint.