Randomized Controlled Trial of Type A2 Distal Radius Fracture Treated with Small Splint Fixation and Plaster Fixation
10.13359/j.cnki.gzxbtcm.2015.06.011
- VernacularTitle:小夹板与石膏固定治疗A2型桡骨远端骨折的随机对照研究
- Author:
Ziwei JIANG
;
Yue LI
;
Feng HUANG
;
Xiaohui ZHENG
;
Peizhen HUANG
;
Yongsheng LAO
;
Hang DONG
- Publication Type:Journal Article
- Keywords:
Small splint fixation;
Plaster fixation;
Type A2 distal radius fracture
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2015;32(6):1017-1021
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of small splint fixation and plaster fixation in treating distal radius fracture. Methods One hundred and four cases of type A2 distal radius fracture admitted from January of 2012 to May of 2013 were randomly divided into small splint fixation group and plaster fixation group. After reduction, patients in the two groups were fixed with small splint and plaster separately. Wrist function scores, 36-item Short Form ( SF-36) scores and roentgenographic scores were evaluated for the two groups at different time points. Results ( 1) Within 3 months of follow up, the improvement of wrist function in small splint fixation group was significantly superior to that in plaster fixation group (P<0.05), and the differences of wrist function scores were insignificant between the two groups with the prolongation of follow-up (P>0.05). (2) SF-36 scores of the two groups were gradually increased along with the follow up. After follow-up for one week, 2 weeks, one month and 3 months, the SF-36 scores in small splint fixation group were significantly higher than that in plaster fixation group ( P<0.05) , but there was no significant difference after 6 months ( P>0.05). ( 3) After follow up for one year, the excellent rate for roentgenographic scores was higher than 80% in both groups, and there was no significant difference between the two groups (P>0.05). Conclusion Both small splint fixation and plaster fixation have satisfacory efficacy in treating type A2 distal radius fracture. But during the therapeutic process, wrist function scores and life quality scores in the small splint fixation group were higher than those in the plaster fixation group.
