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早期活动在科雷氏骨折治疗中的价值。

The value of early mobilisation in the treatment of Colles' fractures.

作者信息

Dias J J, Wray C C, Jones J M, Gregg P J

出版信息

J Bone Joint Surg Br. 1987 May;69(3):463-7. doi: 10.1302/0301-620X.69B3.3584203.

DOI:10.1302/0301-620X.69B3.3584203
PMID:3584203
Abstract

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.

摘要

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。

相似文献

1
The value of early mobilisation in the treatment of Colles' fractures.早期活动在科雷氏骨折治疗中的价值。
J Bone Joint Surg Br. 1987 May;69(3):463-7. doi: 10.1302/0301-620X.69B3.3584203.
2
Early mobilisation of Colles' fractures. A prospective trial.科莱斯骨折的早期活动。一项前瞻性试验。
J Bone Joint Surg Br. 1987 Nov;69(5):727-9. doi: 10.1302/0301-620X.69B5.3316238.
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[Functional treatment of Colles fractures and the relation of anatomic recovery and function].[科雷氏骨折的功能治疗以及解剖复位与功能的关系]
Ned Tijdschr Geneeskd. 1989 Apr 8;133(14):723-8.
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A prospective randomized trial of external fixation and plaster cast immobilization in the treatment of distal radial fractures.一项关于外固定与石膏固定治疗桡骨远端骨折的前瞻性随机试验。
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Brace treatment of Colles' fracture.科雷氏骨折的支具治疗
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Fixation not needed for undisplaced Colles' fracture.无移位的科雷氏骨折无需固定。
Acta Orthop Scand. 1989 Feb;60(1):60-2. doi: 10.3109/17453678909150094.
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External fixation or plaster for severely displaced comminuted Colles' fractures? A prospective study of anatomical and functional results.严重移位的粉碎性科雷氏骨折采用外固定还是石膏固定?一项关于解剖学和功能结果的前瞻性研究。
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[The importance of early exercise therapy in the treatment of Colles' fracture. A clinically controlled study].[早期运动疗法在Colles骨折治疗中的重要性。一项临床对照研究]
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Colles' fractures: functional treatment in supination.科莱斯骨折:旋后位功能治疗
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