Clinical Observation of Manipulative Reduction Combined with Small-splint Fixation for Treatment of Barton's Fracture
- VernacularTitle:手法复位小夹板固定治疗桡骨远端骨折临床观察
- Author:
Sanbao ZHOU
;
Wangde LIN
;
Xinjie WANG
;
Annan PAN
;
Hui CHEN
;
Shengping YUAN
- Publication Type:Journal Article
- Keywords:
BARTON'S FRACTURE;
SMALL-SPLINT FIXATION
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the therapeutic effect of manipulative reduction combined with small-splint fixation for the treatment of Barton's fracture.Methods The apposition state,time for swelling disappearance,time for pain relief,and the score evaluated with Gartland-Werley(GW) criteria modified by Sarmiento were observed for the evaluation of therapeutic effect on Barton's fracture patients.Results After manipulative reduction combined with small-splint fixation,the apposition state was good,and volar tilting angle and ulnar inclination were improved in the patients.Time for the disappearance of swelling on the back of hand ranged from 4 to 14 days,averaged 6.0?1.6 days.Time for pain relief ranged from 3 to 10 days,averaged 6.4?1.6 days.Time for the union of fracture ranged from 30 to 60 days,averaged 35.4?8.3 days.The mean modified GW score was 3.6?2.5,and the score was excellent in 29 patients and good in 41 patients.Conclusion Manipulative reduction combined with small-splint fixation is effective and practical for the treatment of Barton's fracture.
