Meng Xianyu, Li Fengjiu, Zhang Xu, Zhao Donghui, Li Quan, Li Qiuhong, Wang Lei, Yang Ji, Dong Lijie, Jiang Wei
The First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, China.
Heilongjiang University of Chinese Medicine, Harbin 150040, China.
Evid Based Complement Alternat Med. 2022 Nov 10;2022:8461995. doi: 10.1155/2022/8461995. eCollection 2022.
To observe the effectiveness and safety of the Colles fracture treated with the integrated retainer pad splint and to compare the clinical and radiological outcomes of the integrated retainer pad splint and the traditional bamboo curtain splint in the treatment of the Colles fracture.
A total of 100 patients with Colles fractures were randomly divided into two groups: the treatment group was fixed with the integrated retainer pad splint (IS), and the control group was fixed with the traditional bamboo curtain splint (TS).The range of wrist motion was measured at follow-up examinations, and volar inclination, ulnar deviation, and radial height were measured on radiographs. Regular follow-up wrist imaging examinations and functional examinations were performed before reduction, after reduction, and at the 1st, 3rd, 5, and 8th weeks. The two groups were compared in terms of convenience, fracture healing time, X-ray data of volar inclination, ulnar deviation, radial height, and wrist joint function. The relevant data were analyzed with SPSS 25.0 statistical software.
There were no notable differences in gender, age, and injured side between IS and TS groups. In terms of operation time, IS was better than the TS group ( < 0.05), and the operation time in the IS group was shorter. On the basis of X-ray data of volar inclination, ulnar deviation, and radial height measured on radiographs, the difference between the IS and TS groups was statistically significant ( < 0.05), which showed that the IS group was more stable in fracture fixation and had less reduction loss during the treatment process. At the 8th week of treatment, the wrist Gartland-Werley score of the two groups showed that the two fixation methods are equivalent in restoring wrist joint function ( > 0.05); however, in terms of the excellent and good rate of wrist joint function, the IS group scored 96% was higher than the TS group (80%).
Compared with the traditional bamboo curtain splint, the integrated retainer pad splint is more convenient and stable, and it has less reduction loss during the treatment. Repair of the Colles fracture using the integrated retainer pad splint with external fixation results in nearly normal return of function, which is significantly better than using the traditional bamboo curtain splint.
观察一体式护垫夹板治疗Colles骨折的有效性和安全性，并比较一体式护垫夹板与传统竹帘式夹板治疗Colles骨折的临床及影像学效果。
将100例Colles骨折患者随机分为两组：治疗组采用一体式护垫夹板（IS）固定，对照组采用传统竹帘式夹板（TS）固定。随访时测量腕关节活动范围，X线片测量掌倾角、尺偏角和桡骨高度。复位前、复位后及第1、3、5、8周进行常规腕关节影像学检查和功能检查。比较两组在便利性、骨折愈合时间、掌倾角、尺偏角、桡骨高度的X线数据及腕关节功能方面的差异。采用SPSS 25.0统计软件对相关数据进行分析。
IS组和TS组在性别、年龄及受伤侧别方面无显著差异。在手术时间方面，IS组优于TS组（<0.05），IS组手术时间更短。根据X线片测量的掌倾角、尺偏角和桡骨高度的X线数据，IS组和TS组之间差异有统计学意义（<0.05），表明IS组骨折固定更稳定，治疗过程中复位丢失更少。治疗第8周时，两组腕关节Gartland-Werley评分显示两种固定方法在恢复腕关节功能方面相当（>0.05）；然而，在腕关节功能优良率方面，IS组为96%高于TS组（80%）。
与传统竹帘式夹板相比，一体式护垫夹板更方便、稳定，治疗过程中复位丢失更少。采用一体式护垫夹板外固定治疗Colles骨折，功能恢复接近正常，明显优于传统竹帘式夹板。
