Dias J J, Wray C C, Jones J M, Gregg P J
J Bone Joint Surg Br. 1987 May;69(3):463-7. doi: 10.1302/0301-620X.69B3.3584203.
Unilateral Colles' fractures in 187 patients over the age of 55 years were studied in a randomised prospective trial: 97 fractures were minimally displaced and were treated either conventionally or in a crêpe bandage; 90 displaced Colles' fractures were reduced and of these 47 were treated conventionally while 43 were encouraged to mobilise the wrist in a cast which restricted extension. Early wrist movement hastened functional recovery and led to earlier resolution of wrist swelling. Discomfort was no greater than in patients who were treated conventionally. The bony deformity, which recurred irrespective of the method of treatment, was not adversely affected by early mobilisation.
在一项随机前瞻性试验中,对187例55岁以上的单侧科雷氏骨折患者进行了研究:97例骨折移位极小,采用传统方法或用绉布绷带治疗;90例移位的科雷氏骨折进行了复位,其中47例采用传统方法治疗,43例则被鼓励在限制伸展的石膏中活动手腕。早期手腕活动加速了功能恢复,并使手腕肿胀更早消退。不适感并不比采用传统治疗方法的患者更严重。无论治疗方法如何,都会复发的骨畸形并未因早期活动而受到不利影响。