McAuliffe T B, Hilliar K M, Coates C J, Grange W J
London Hospital, Whitechapel, England.
J Bone Joint Surg Br. 1987 Nov;69(5):727-9. doi: 10.1302/0301-620X.69B5.3316238.
The results of a prospective controlled trial of early mobilisation of Colles' fractures in the elderly are presented. Early mobilisation produced less pain and a stronger grip. It did not lead to any greater loss of reduction of the fracture. However, there was no significant improvement in the final range of movement of the wrist. Immobilisation of the wrist for six weeks in plaster is extremely inconvenient for the elderly living alone and the patients greatly appreciated the reduction of this period of time to a minimum.
本文介绍了一项针对老年Colles骨折患者早期活动的前瞻性对照试验结果。早期活动产生的疼痛较轻,握力更强。它并未导致骨折复位丢失更多。然而,腕关节最终活动范围并无显著改善。对于独居老人来说,用石膏固定手腕六周极为不便,患者非常感激将这段时间减至最短。