Kongsholm J, Olerud C
Sollefteå Hospital, Sweden.
Injury. 1987 Mar;18(2):133-6. doi: 10.1016/0020-1383(87)90190-2.
Two techniques for reduction of Colles' fractures were compared in a prospective, randomized study. With use of a newly designed dynamic bone alignment device, reduction manoeuvres were performed on 62 patients with Colles' fractures (group A) without any form of anaesthesia. In a control group of 54 patients (group B) Colles' fractures were reduced manually in the traditional way using local infiltration anaesthesia. In each group the pain experienced by the patients was recorded. Severe pain during the reduction was reported by 8 per cent of the patients in group A and by 35 per cent of those in group B. No complications occurred during or after dynamic reduction without anaesthesia. This method of treatment seems to be a very gentle one for the patients, with the advantage of causing less pain than treatment under local anaesthesia.
在一项前瞻性随机研究中，对两种治疗Colles骨折的技术进行了比较。使用一种新设计的动态骨对线装置，在62例Colles骨折患者（A组）身上未使用任何形式的麻醉进行复位操作。在54例患者的对照组（B组）中，采用局部浸润麻醉以传统方式手动复位Colles骨折。记录每组患者所经历的疼痛。A组8%的患者和B组35%的患者报告在复位过程中出现剧痛。在无麻醉的动态复位过程中及之后未发生并发症。这种治疗方法对患者来说似乎非常温和，其优点是比局部麻醉下的治疗引起的疼痛更少。
