Clinical Efficacy and Radiographic Outcomes of Manipulative Reduction Combined with Small Splint Fixation for Distal Radius Fractures：A Retrospective Multicenter Study with Propensity Score Matching
10.13288/j.11-2166/r.2026.10.010
- VernacularTitle:手法复位联合小夹板固定治疗桡骨远端骨折的临床疗效及影像学指标分析——一项倾向性评分匹配的回顾性多中心研究
- Author:
Mao WU
1
;
Guoda DAI
1
;
Yang SHAO
1
;
Shaoshuo LI
1
;
Zhen HUA
1
;
Hengyan CUI
1
;
Tingchen ZHU
1
;
Dipeng LI
1
;
Jintao LIU
2
;
Ming ZHOU
3
;
Peimin WANG
4
;
Liyong ZHANG
5
;
Jianwei WANG
1
Author Information
1. Wuxi Hospital of Traditional Chinese Medicine，Wuxi，214071
2. Suzhou Hospital of Traditional Chinese Medicine
3. Changzhou Hospital of Traditional Chinese Medicine
4. Jiangsu Provincial Hospital of Traditional Chinese Medicine
5. Yangzhou Hospital of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
distal radius fracture;
manipulative reduction;
small splint fixation;
surgery reduction;
wrist joint function
- From:
Journal of Traditional Chinese Medicine
2026;67(10):1086-1092
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo observe the clinical efficacy and radiographic outcomes of manipulative reduction combined with small splint fixation in the treatment of distal radius fractures. MethodsThe clinical data of 1051 patients with distal radius fractures were retrospectively collected from five hospitals included in the Jiangsu Diagnosis and Treatment Data Platform for Traditional Chinese Medicine（TCM） Dominant Diseases. Propensity score matching at a 1∶4 ratio was applied， resulting in 580 cases selected for final analysis， which comprised 448 patients in the TCM group（manipulative reduction plus small splint fixation） and 132 in the surgical treatment group（open reduction and internal fixation）. Each group was further stratified into type A， B， and C subgroups based on AO fracture classification. Radiographic indicators including palmar tilt， radial inclination， and radial height were compared between groups before treatment and 1 day， 1 week， and 4-6 weeks after treatment， and pain visual analog scale（VAS） scores before treatment and 1 week and 4-6 weeks after treatment were also compared. Wrist joint function was assessed 12 weeks after treatment， using the Dienst wrist function score and the Gartland and Werley（G-W） wrist function score. Additionally， the radiographic indicators at different timepoints and the 12-week wrist function levels were compared between groups across different fracture types. ResultsNo statistically significant difference was observed in radiographic indicators and VAS scores at all timepoints before and after treatment， as well as wrist joint function grades assessed by the Dienst score and the G-W score at 12 weeks after treatment （P＞0.05）. Compared to those before treatment， both groups showed increased palmar tilt， radial inclination， and radial height 1 week and 4-6 weeks after treatment， and decreased VAS scores （P＜0.05）. Compared to those 1 week after treatment， both groups showed a decrease in palmar tilt， an increase in radial inclination and radial height， and a reduction in VAS score 4-6 weeks after treatment（P＜0.05）. In type A and B subgroups， the surgical treatment group had a higher radial inclination than the TCM group 4-6 weeks after treatment， while in the type C subgroup， a higher radial height was shown in the surgical treatment group than in the TCM group 4-6 weeks after treatment（P＜0.05）. In type C subgroup， there was significant difference between groups in the wrist joint function by G-W scores 12 weeks after treatment（P＜0.05）. ConclusionManipulative reduction combined with small splint fixation can maintain fracture alignment and alleviate pain in treating distal radius fractures， which achieves therapeutic outcomes comparable to surgical treatment. It is particularly suitable for type A and B fractures and can be considered an effective treatment option for distal radius fractures.
