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手法复位石膏托固定治疗Colles骨折的效果观察
作者：白俊龙
来源：《中外医学研究》2017年第29期
【摘要】 目的：探讨手法复位石膏托固定治疗Colles骨折的临床效果。方法：汇总笔者所在医院2015年8月-2016年8月手法复位石膏托固定治疗的Colles骨折患者共115例，分析统计手法复位前、后X线片中掌倾角、尺偏角及桡骨长度的变化情况，随访并收集腕关节功能评定结果。结果：115例患者中共有男26例，女89例，复位前掌倾角均值-18.7°，复位后掌倾角均值7.2°；复位前尺偏角均值12.6°，复位后尺偏角均值17.5°，桡骨长度恢复均值0.3 cm。所有患者的骨折对位情况均得到改善，所有患者全部骨性愈合。随访1年，腕关节功能优90例，良20例，差5例。结论：手法复位石膏托固定治疗Colles骨折是一种有效、可靠的治疗方法，有较高的临床应用价值。
【关键词】 Colles骨折； 手法复位； 石膏托固定
doi：10.14033/j.cnki.cfmr.2017.29.008 文献标识码 B 文章编号 1674-6805（2017）29-0016-02
Clinical Effects of Manual Reduction with Plaster External Fixation in the Treatment of Colles Fracture Patients/BAI Jun-long.//Chinese and Foreign Medical Research，2017，15（29）：16-17 【Abstract】 Objective：To observe clinical effects of manual reduction with plaster external fixation in the treatment of Colles fracture patients.Method：From August 2015 to August 2016，115 patients with Colles fractures treated with manual reduction and plaster fixation were observed.We analyzed the data of the angle of radial inclination，ulnar inclination and length of distal radius on the X-ray before manual reduction and after manual reduction.The wrist joint function was followed-up and assessed.Result：The 115 patients had 26 males and 89 females.The mean angle of the radial inclination before manual reduction was -18.7°，the ulnar inclination was 12.6°.The mean angle of the radial inclination after manual reduction was 7.2°，the ulnar inclination was 17.5°.The length of distal radius was corrected of about 0.3 cm.All patients got bony union and both angles on X-ray got improved.The patients were followed up 1 year，the wrist function results were as follows，90 excellent cases，20 good cases and 5 poor ones.Conclusion：The method of the manual reduction with plaster external fixation in the treatment of Colles fracture patients is effective and reliable and it has good clinical application value.
【Key words】 Colles fracture； Manual reduction； Plaster external fixation First-author’s address：Civil Aviation General Hospital，Beijing 100123，China
手法复位石膏托固定治疗Colles骨折的效果观察
