Zhang Xiong-hui, Xiao Zhi-qing, Wang Ai-ming, Zhang Huo-lin, Li Hui-jin, Huang Shao-quan
Heyuan Hospital of Traditional Chinese Medicine, 517000 Heyuan, Guangdong, China.
Zhongguo Gu Shang. 2010 Aug;23(8):578-80.
To study the advantage of fir bark splint for the treatmet of distal radius fracture.
From January 2006 to June 2008, 80 cases were randomly divided into two groups and treated by fir bark splint fixation or plaster fixation. There were 40 cases in the fir bark splint group, including 18 males and 22 females with an average age of 45.2 years ranging from 20 to 66 years. There were 40 cases in the plaster group, including 19 males and 21 females with an average age of 44.1 years ranging from 23 to 65 years. Four weeks after manipulative reduction and external fixation, the fixtion effect, function recovery, bone mineral density of secondly metacarpus were obsearved by X-ray film, and the clinical effect were evaluated according to healing time ahead of schedule.
As compared between the two groups, the fixation effect of the fir bark splint group was better than that of the plaster group (Z = -2.844, P = 0.004 < 0.05); the function recovery of the fir bark splint group was better than that of the plaster group (Z = -3.196, P = 0.001 < 0.05); the bone mineral density of secondly metacarpus of the fir bark splint group were better than that of plaster group (t = 4.56, P < 0.001); the curative effect of fir bark splint group was better than that of the plaster group (Z = -2.601, P = 0.009 < 0.05).
Fir bark splint could effectively keep fixation stability and promote fracture healing as well as function recovery.
探讨杉木树皮夹板治疗桡骨远端骨折的优势。
2006年1月至2008年6月，将80例患者随机分为两组，分别采用杉木树皮夹板固定或石膏固定治疗。杉木树皮夹板组40例，其中男性18例，女性22例，平均年龄45.2岁，年龄范围20至66岁。石膏组40例，其中男性19例，女性21例，平均年龄44.1岁，年龄范围23至65岁。手法复位外固定4周后，通过X线片观察固定效果、功能恢复情况及第二掌骨骨密度，并根据提前愈合时间评估临床疗效。
两组比较，杉木树皮夹板组固定效果优于石膏组（Z = -2.844，P = 0.004 < 0.05）；杉木树皮夹板组功能恢复情况优于石膏组（Z = -3.196，P = 0.001 < 0.05）；杉木树皮夹板组第二掌骨骨密度优于石膏组（t = 4.56，P < 0.001）；杉木树皮夹板组疗效优于石膏组（Z = -2.601，P = 0.009 < 0.05）。
杉木树皮夹板能有效保持固定稳定性，促进骨折愈合及功能恢复。
