CAJ | 학술논문

目的观察手法复位并石膏外固定治疗闭合性桡骨远端骨折的临床疗效并探讨手法复位成功的关键因素.方法对78例中老年桡骨远端骨折患者采用手法复位并石膏外固定治疗,术后定期进行X线和腕关节功能评估.结果术后X线检查达到解剖复位60例,功能复位18例；末次随访时腕关节评分获优55例,良23例.结论手法复位并石膏外固定治疗闭合性桡骨远端骨折可取得满意效果.
목적 관찰수법복위병석고외고정치료폐합성뇨골원단골절적림상료효병탐토수법복위성공적관건인소.방법 대78례중노년뇨골원단골절환자채용수법복위병석고외고정치료,술후정기진행X선화완관절공능평고.결과 술후X선검사체도해부복위60례,공능복위18례；말차수방시완관절평분획우55례,량23례.결론 수법복위병석고외고정치료폐합성뇨골원단골절가취득만의효과.
Objective To investigate the clinical efficacy of manipulative reduction and cast immobilization in the treatment of closed distal radius fracture.Methods 78 elderly patients with distal radial fractures were treated with closed reduction and cast immobilization,and received X-rays and regular assessment of wrist function after operation.We analyzed the effect at different time points.Results The postoperative X-ray examination showed,60 cases achieved desired effect of anatomic reduction,18 cases of functional reduction.At the final follow-up time point,Functional Assessment Scoring of 55 cases was excellent,23 cases of good.Conclusion Manual reduction combined with cast immobilization in the treatment of closed distal radius fractures can obtain satisfying outcome.