CAJ | 학술논문

目的：观察旋后手法复位高分子夹板治疗桡骨远端Smith骨折的疗效。方法：选取自2011年1月—2015年1月采用旋后手法复位高分子石膏夹板外固定治疗桡骨远端Smith骨折42例，男性18例，女性24例，年龄9～72岁，均有外伤史，采用 Anelerson评价法评定疗效。结果：所有患者均获随访，时间4个月～2年，平均1年，骨性愈合对位对线良好38例，4例略向掌侧移位1～2 mm，最终功能：35例腕前臂活动自如，7例轻度功能受限。按 Anderson成人前臂骨折治疗效果评价分级标准评定，优35例，良7例。结论：采用旋后手法复位高分子石膏夹板治疗桡骨远端Smith骨折，复位成功率高，外固定可靠，容易操作，值得临床推广。
목적：관찰선후수법복위고분자협판치료뇨골원단Smith골절적료효。방법：선취자2011년1월—2015년1월채용선후수법복위고분자석고협판외고정치료뇨골원단Smith골절42례，남성18례，녀성24례，년령9～72세，균유외상사，채용 Anelerson평개법평정료효。결과：소유환자균획수방，시간4개월～2년，평균1년，골성유합대위대선량호38례，4례략향장측이위1～2 mm，최종공능：35례완전비활동자여，7례경도공능수한。안 Anderson성인전비골절치료효과평개분급표준평정，우35례，량7례。결론：채용선후수법복위고분자석고협판치료뇨골원단Smith골절，복위성공솔고，외고정가고，용역조작，치득림상추엄。
Objective: To observe the curative effect of supination manual reduction and macromolecule plaster splint cure for distal radius Smith fracture. Methods: 42 cases of supination manual reduction and macromolecule plaster splint cure for distal radius Smith fracture from January 2011 to January 2015 were taken for study. Among those 42 patients 18 were male and 24 were femaleranging from age 9 to 72 and there was a history of trauma in the all cases. Anelerson method of evaluation was used to evaluate the curative effect. Results: After the follow up visits to all of patients between four months and two years( average follow up visit time was one years), the bony union, counterpoint and alignment were well in the 38 cases, the transposition for other 4 cases was 1~2 mm to the palmaris. Ultimately function analysis revealed that for 35 cases the activity was freely and for 7 cases the activity was mild functional limitation. Anderson method of evaluation showed that 35 cases were excellent and 7 cases were fine. Conclusion: Supination manual reduction and macromolecule plaster splint cure for distal radius Smith fracturehas higher of the success rate. The external fixation was reliable. The operation is easy. The clinical method deserves to be popular.