CAJ | 학술논문

目的：探讨手法复位石膏外固定腕关节不同位置治疗Col es骨折的临床疗效。方法选择2008年3月～2011年1月收治的Col es骨折移位的患者426例，其中手法复位腕伸位固定230例，腕屈位固定196例。对所有患者随访，对比两组的骨折再移位率；评定骨折愈合后的腕关节功能，比较优良率。结果石膏外固定腕关节于腕伸位的骨折再移位率20.9％低于腕屈位的50.0％，P＜0.05，差异具有统计学意义，腕关节功能优良率93.0％高于腕屈位的79.9％，P＜0.05，差异具有统计学意义。结论手法复位石膏外固定腕关节不同位置治疗Col es骨折的再移位率低，疗效明显。
목적：탐토수법복위석고외고정완관절불동위치치료Col es골절적림상료효。방법선택2008년3월～2011년1월수치적Col es골절이위적환자426례，기중수법복위완신위고정230례，완굴위고정196례。대소유환자수방，대비량조적골절재이위솔；평정골절유합후적완관절공능，비교우량솔。결과석고외고정완관절우완신위적골절재이위솔20.9％저우완굴위적50.0％，P＜0.05，차이구유통계학의의，완관절공능우량솔93.0％고우완굴위적79.9％，P＜0.05，차이구유통계학의의。결론수법복위석고외고정완관절불동위치치료Col es골절적재이위솔저，료효명현。
Objective Analysis clinical efifcacy of plaster external ifxation on different wrist position of Colles fracture. Methods Selected 426 cases with Colles fracture from March 2008 to January 2011, there were 230 patient with fixed wrist, 196 patients with fixed wrist flexion. Following up all the patients, compared the fractures and translocation rate of the two groups, evaluated the wrist joint function and satisfaction rate of the two groups. Results Plaster external fixation carpal tunnel in the wrist with a fracture to shift rate 20.9%was lower than the wrist lfexion group 50.0%, P<0.05, had difference statistically significance, the rate of good function of wrist joint 93.0%was higher than the wrist lfexion group with 79.9%, P<0.05, had difference statistically signiifcance. Conclusion Plaster external fixation on different wrist position of Colles fracture has low shiifting again rate, effect obvious.