Van Leemput Tom, Mahieu Geert
Orthopaedic Department, Frere Hospital, East London Hospital Complex, East London, South Africa.
Acta Orthop Belg. 2007 Dec;73(6):710-3.
The purpose of this prospective study was to compare three different ways of conservative management of isolated fractures of the ulnar shaft: immediate mobilisation, below-elbow plaster cast and above-elbow plaster cast immobilisation. Over a 24-month period, 102 minimally displaced isolated fractures of the distal two-thirds of the ulnar shaft were treated on an outpatient basis. Thirty-two fractures were immobilised with an above-elbow plaster cast for 3 weeks and a below-elbow plaster cast for an additional 3 weeks. Thirty-six fractures were immobilised with a below-elbow plaster cast for 6 weeks. The remaining 34 fractures were managed with immediate mobilisation. Radiological healing, range of motion of the wrist, and pain were assessed. Results were good and were comparable in terms of healing, time to healing, pain and range of motion of the wrist.
立即活动、肘下石膏固定和肘上石膏固定。在24个月的时间里，对102例尺骨远端三分之二的轻度移位孤立性骨折进行了门诊治疗。32例骨折采用肘上石膏固定3周，然后再用肘下石膏固定3周。36例骨折采用肘下石膏固定6周。其余34例骨折采用立即活动的方法治疗。评估了骨折的放射学愈合情况、腕关节活动范围和疼痛程度。结果良好，在愈合、愈合时间、疼痛和腕关节活动范围方面具有可比性。
