Department of Orthopaedic Surgery, Hanyang University Guri Hospital, Guri, Republic of Korea.
Department of Orthopaedic Surgery, College of Medicine, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea.
BMC Musculoskelet Disord. 2024 Apr 3;25(1):261. doi: 10.1186/s12891-024-07362-9.
Non-operative management is typically indicated for extra-articular distal radius fractures. Conservative treatments such as Sugar tong splints (STs) and Muenster splints (MUs) are commonly used. However, there is limited research and outcome data comparing the two splint types. Therefore, this study aimed to investigate and compare the radiographic and clinical outcomes of treatment using STs and MUs.
In this retrospective comparative study, we aimed to evaluate and compare the radiographic and clinical outcomes of STs and MUs for the treatment of distal radius fractures. The study included 64 patients who underwent closed reduction (CR) in the emergency room and were treated with either STs or MUs splints (STs group: n = 38, MUs group: n = 26). Initial X-rays, post-CR X-rays, and last outpatient follow-up X-rays were evaluated. Radial height (RH), ulnar variance (UV), radial inclination (RI), and volar tilt (VT) were measured by a blinded investigator. The Quick DASH form was applied to measure patients' satisfaction after treatments.
There were no significant differences in baseline characteristics, initial radiographic measurements, or radiographic measurements immediately after CR between the two groups. However, the overall radiological values deteriorated to some degree in both groups compared to the post-CR images. Furthermore, using a paired test, the STs group showed significant differences in RH and RI, and the MUs group showed significant differences in RH and UV between the last follow-up and post-CR images.
The study concluded that there was no difference in clinical outcomes between the two splint types. However, both STs and MUs groups showed reduced radiographic parameters, and the MUs group showed a significant reduction of RH and UV in the treatment of distal radius fractures.
Level IV; Retrospective Comparison; Treatment Study.
对于关节外的桡骨远端骨折，通常采用非手术治疗。糖钳夹板（STs）和明斯特夹板（MUs）等保守治疗方法较为常用。然而，目前关于这两种夹板类型的研究和结果数据有限。因此，本研究旨在探讨和比较 STs 和 MUs 治疗桡骨远端骨折的放射学和临床结果。
在这项回顾性对比研究中，我们旨在评估和比较 STs 和 MUs 治疗桡骨远端骨折的放射学和临床结果。该研究纳入了 64 例在急诊室行闭合复位（CR）的患者，他们分别接受 STs 或 MUs 夹板治疗（STs 组：n=38，MUs 组：n=26）。评估了初始 X 线、CR 后 X 线和最后一次门诊随访 X 线。由一位盲法研究者测量桡骨高度（RH）、尺侧骨量（UV）、桡骨倾斜度（RI）和掌倾角（VT）。使用快速残疾评定量表（Quick DASH）评估患者治疗后的满意度。
两组患者的基线特征、初始放射学测量值或 CR 后即刻放射学测量值均无显著差异。然而，与 CR 后 X 线片相比，两组患者的整体放射学值均有一定程度的恶化。此外，采用配对 t 检验，STs 组在 RH 和 RI 方面存在显著差异，MUs 组在 RH 和 UV 方面存在显著差异。
本研究表明，两种夹板类型的临床结果无差异。然而，STs 和 MUs 组在治疗桡骨远端骨折时，放射学参数均有所下降，且 MUs 组的 RH 和 UV 明显下降。
IV 级；回顾性比较；治疗研究。
