“顺序逐渐复位”理念在老年桡骨远端骨折保守治疗中的运用  

Application of the concept of“sequential fracture reduction”in the conservative treatment of distal radius fractures in the elderly

作　　者：谢健 袁惠霞 宋海亚 Xie Jian;Yuan Huixia;Song Haiya(Department of Orthopedics,Jiangyin Nanzha Hospital,Jiangyin,Jiangsu)

机构地区：[1]江苏省江阴南闸医院骨科,江苏江阴

出　　处：《运动科学与健康研究》2025年第2期15-20,共6页Research on Sports Science and Health

摘　　要：目的:探讨“顺序逐渐复位”理念在老年桡骨远端骨折保守治疗中的运用效果。方法:选择我科2022年1月~2024年3月收治的68例桡骨远端骨折患者,采取数表法分组,对照组(n=34)常规手法复位及石膏固定;试验组(n=34)常规治疗联合运用“顺序逐渐复位”的运动损伤修复理念进行治疗。随诊1年,评价两组患者复位质量、腕关节功能及并发症发生情况。结果:试验组复位质量评分低于对照组(P<0.05)。在“骨折临床愈合”、“随诊1年”2个时点试验组Gartland-Werley评分优良率均高于对照组(P<0.05)。试验组并发症发生率(5.88%)低于对照组(26.47%)(P<0.05)。结论:老年桡骨远端骨折采用“顺序逐渐复位”的运动损伤修复理念进行保守治疗,复位质量及腕关节功能优于常规治疗,且并发症发生率更低。Objective:To investigate the effect of“sequential fracture reduction”in the conservative treatment of distal radius fractures in the elderly.Methods:68 cases of distal radius fracture in our department were selected.Patients were selected from January 2022 to March 2024,and were individed by numerical table method.The control group(n=34)was treated with conventional reduction and plaster fixation.The study group(n=34)combined with the concept of“sequential fracture reduction”in the repair of sports injuries.After 1 year follow-up,the reduction quality,wrist function and complications were evaluated in both groups.Results:The reduction quality score of fracture in study group was lower than that in control group(P<0.05).The Gartland-Werley score of the study group was higher than that of the control group(P<0.05)at the two time points of“clinical fracture healing”and“1 year follow-up”.The complication rate of the study group(5.88%)was lower than that of the control group(26.47%)(P<0.05).Conclusion:The conservative treatment of senile distal radius fractures with the concept of“sequential fracture reduction”has better reduction quality and wrist joint function than conventional treatment,and the incidence of complications is lower.

关 键 词：桡骨远端骨折 老年 手法复位 运动损伤修复理念 腕关节功能 

分 类 号：R683.41[医药卫生—骨科学]