可摘除式手腕夹板在桡骨远端青枝骨折治疗中的应用
Application of removable wrist splint in the management of distal forearm torus fractures.
作者信息
Karimi Mobarakeh Mahmood, Nemati Ali, Noktesanj Reza, Fallahi Amirhossein, Safari Saeed
机构信息
Department of Orthopedic and Trauma Surgery, Kerman University of Medical Sciences, Shahid Bahonar Hospital, Kerman, IR Iran.
Department of Emergency Medicine, Shahid Beheshti Medical University, Imam Hossein Hospital, Tehran, IR Iran.
出版信息
Trauma Mon. 2013 Winter;17(4):370-2. doi: 10.5812/traumamon.5094. Epub 2013 Jan 15.
BACKGROUND
There is considerable variation in the treatment of distal forearm torus fractures (DFTF), from soft bandaging to cast immobilization.
OBJECTIVES
The present study aimed to show the result of removable wrist splint (RWS) in the treatment of these fractures.
MATERIALS AND METHODS
One hundred forty two children aged less than 17 years old with DFTF were studied prospectively. These patients were randomly treated either by a short arm cast (SAC) or a RWS for three weeks. Finally the treatment results of the two groups were compared.
RESULTS
There were no significant differences regarding degree of pain, compliance or complications between RWS and SAC groups. Resource savings can be made with this approach also patients' and parents' satisfaction can be increased without compromising patients' care.
CONCLUSIONS
RWS can be considered as an easy and acceptable treatment modality with very low costs and complications in the management of DFTF.
背景
从软绷带包扎到石膏固定，前臂远端青枝骨折（DFTF）的治疗方法存在很大差异。
目的
本研究旨在展示可拆除腕部夹板（RWS）治疗这些骨折的效果。
材料与方法
前瞻性研究了142例17岁以下的DFTF儿童患者。这些患者被随机分为接受短臂石膏（SAC）或RWS治疗三周。最后比较两组的治疗结果。
结果
RWS组和SAC组在疼痛程度、依从性或并发症方面无显著差异。采用这种方法可以节省资源，还能提高患者和家长的满意度，同时不影响患者的护理。
结论
在DFTF的治疗中，RWS可被视为一种简便且可接受的治疗方式，成本和并发症极低。
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