West Simon, Andrews John, Bebbington Andrew, Ennis Owain, Alderman Phillip
Royal Gwent Hospital, Newport, South Wales, UK.
J Pediatr Orthop. 2005 May-Jun;25(3):322-5. doi: 10.1097/01.bpo.0000152909.16045.38.
To show that the treatment of buckle fractures of the distal radius in children in a soft bandage is an effective and safe method of treatment, a randomized prospective trial was undertaken. Patients entered the trial after diagnosis in the accident and emergency department. Allocation to either plaster cast or bandage was random. Bandage patients were seen each week. Plaster cast patients were seen at 4 weeks. Measurements were taken at all visits. Patient questionnaires were completed at the end of treatment. Thirty-nine patients completed the study. Eighteen were allocated to bandage, 21 to plaster cast. Those in bandage showed an excellent range of movement by the first week. Results were highly positive for treatment in bandage, with no reported adverse effects and a highly desirable result for the patient. The authors would suggest a change in treatment policy for such fractures.
为了证明采用软绷带治疗儿童桡骨远端青枝骨折是一种有效且安全的治疗方法，我们进行了一项随机前瞻性试验。患者在急诊科确诊后进入试验。随机分配至石膏固定组或绷带组。绷带组患者每周复诊，石膏固定组患者在4周时复诊。每次复诊时均进行测量。治疗结束时完成患者问卷调查。39名患者完成了研究。18名被分配至绷带组，21名被分配至石膏固定组。绷带组患者在第一周时活动范围就极佳。绷带治疗的结果非常积极，未报告有不良反应，对患者来说是非常理想的结果。作者建议对此类骨折的治疗策略进行改变。
