Kropman Rogier H J, Bemelman Mike, Segers Michiel J M, Hammacher Eric R
Department of Surgery, St Antonius Hospital, Nieuwegein, The Netherlands.
J Trauma. 2010 Feb;68(2):425-8. doi: 10.1097/TA.0b013e3181a0e70e.
To evaluate the relative risks and advantages of using soft bandage therapy (BT) for impacted greenstick fractures of the distal forearm compared with cast therapy (CT).
At a single center from September 2005 to October 2006 all patients with an impacted greenstick fracture were randomized to BT or CT.
A total of 92 patients were randomized and assigned. No fracture displacement was seen. Three patients from the BT group were converted to standard treatment. A significant difference in pain was seen between both groups after 1 week in favor of the CT group. Discomfort was significantly less in the BT group compared with the CT group. After 4 weeks, the wrist function was significantly better in the BT group. After 6 weeks, the wrist functions of both the groups were comparable.
BT for impacted greenstick fractures of the distal forearm is a safe technique, patients treated with bandage suffer greater pain at the start of the treatment, are able to return to normal activities sooner, and have less discomfort when compared with the standard CT.
评估与石膏固定治疗（CT）相比，使用软绷带治疗（BT）桡骨远端青枝骨折的相对风险和优势。
2005年9月至2006年10月在单一中心，所有桡骨远端青枝骨折患者被随机分为BT组或CT组。
共92例患者被随机分组并分配。未观察到骨折移位。BT组有3例患者转为标准治疗。1周后两组疼痛有显著差异，CT组更有利。与CT组相比，BT组不适明显更少。4周后，BT组腕关节功能明显更好。6周后，两组腕关节功能相当。
BT治疗桡骨远端青枝骨折是一种安全的技术，与标准CT相比，绷带治疗的患者在治疗开始时疼痛更重，能更快恢复正常活动，不适更少。
