Treatment of Colles fracture with manipulative closed reduction and U shaped gypsum functional fixation
10.3969/j.issn.1003-0034.2016.01.005
- VernacularTitle:闭合手法复位 U 形螺旋石膏功能位固定治疗Colles骨折
- Author:
Cai Jian SU
1
Author Information
1. 吕梁市离石区人民医院骨科
- Keywords:
Colles’ fracture;
Fracture fixation;
Wrist joint
- From:
China Journal of Orthopaedics and Traumatology
2016;(1):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of U shaped gypsum functional fixation after closed manipulative reduction for treatment of Colles' fractures. Methods:From January 2011 to April 2014,47 cases of Colles fracture were treated by closed reduction and U shaped gypsum functional fixation including 12 males and 35 females with an average age of 54.8 years old ranging from 8 to 72 years old. The time from injury to treatment was 40 min to 3 d. The patients were closed fractures with-out neurovascular injury. After manual reduction and U shaped gypsum functional fixation,the thumb of injury hand were trac-tion by contralateral hand,and other fingers of injury hand were taken flexion to exercise grip function. According to the situa-tion of fracture healing,plaster was removed at 4 to 8 weeks'fixation,the wrist joint functional exercise was strengthened after plaster removed. Results:All patients were followed up from 6 to 12 months with an average of 6.4 months ,the fracture healing time was 4 to 8 weeks. According to the Cooney wrist function scoring:the result was excellent in 44 cases,good in 2 cases,1 case. Conclusion:U shape gypsum functional fixation for treatment of Colles fracture limits the activity of thumb and extensor tendon,can reduce shortening of radial by traction of the injury thumb with the contralateral hand;it is good for blood circula-tion of hand and wrist,and swelling.
