Non-operative and operative treatments of senile comminuted distal radial fractures:a comparative research of their clinical results
- VernacularTitle:不同方法治疗老年桡骨远端粉碎性骨折的比较研究
- Author:
Wanjun LIU
;
Weiguang WANG
;
Hai WANG
- Publication Type:Journal Article
- Keywords:
Distal radius;
Fracture,comminuted;
Internal fixation;
External fixator;
Senile
- From:
Chinese Journal of Orthopaedic Trauma
2002;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical results of operation and manual reduction and plaster immobilization in management of senile comminuted distal radial fractures.Methods Retrospective analysis of the clinical data was done for the 178 senile patients with comminuted distal radial fracture who were treated from January 2000 to September 2004 in our department.102 cases were treated with manual reduction and plaster immobilization,46 cases with external fixator and limited internal fixation,and 30 cases with T-plate internal fixation.Results Follow-up duration averaged 27 months(13 to 52 months).According to Dienst criteria,the excellent rate of functional outcome was 93.5%for external fixator combined with limited internal fixation,78.4%for manual reduction and plaster immobilization and 80.0%for T-plate internal fixation.The differences were statistically significant(P
