Application of longitudinal reduction in surgical treatment of distal radius comminuted fractures in the elderly
10.3760/cma.j.issn.0254-9026.2010.10.013
- VernacularTitle:老年人桡骨远端粉碎性骨折手法整复结合手术治疗的应用
- Author:
Mingguang FENG
;
Fei XING
;
Haitao YANG
;
Qianlai CAO
;
Liangyi WANG
;
Jie ZHOU
;
An WANG
;
Haiyang WANG
- Publication Type:Journal Article
- Keywords:
Radius fractures;
Fractures,comminuted;
BONE SETTING
- From:
Chinese Journal of Geriatrics
2010;29(10):832-834
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the application of longitudinal reduction of Chinese traditional medicine in surgical treatment of distal radius comminuted fractures in the elderly. Methods Before the operation, the 54 elderly patients with the fracture were reduced by longitudinal direction under anesthesia, then they were treated with minimally invasive plate osteosynthesis in the approach upon the reduction condition and fracture types. Results After 12-month follow-up, the fractures were all healed. The mean healing time of the fractures was 8 weeks (6-12 weeks). At the end of follow -up, the mean range of motion of the wrist was at 50°of flexion, 45°of extension, 30° of ulnar deviation, at 20° of radial deviation. According to the criteria of Gartland and Werley, the results were excellent in 35 cases, good in 17 cases, fair in 2 cases and poor in 0 case. Conclusions It is vital to provide a Chinese traditional longitudinal reduction before invasive surgical plate fixation in treatment of distal radius comminuted fractures, to avoid large-area exposure of fracture site, minimize the damage to the soft tissue, maintain reduction of post operation and achieve good wrist function.
