闭合复位石膏夹板固定治疗老年人桡骨远端骨折的临床及影像学疗效观察

目的：探讨闭合复位石膏夹板固定治疗老年人桡骨远端骨折的临床及影像学疗效。方法选择76例采用闭合复位石膏夹板固定治疗桡骨远端骨折老年患者。根据骨折的AO分型分为三组，其中A型组27例，B型组26例，C型组23例。通过分析随访资料，采用相应的影像学测量参数及临床评分对治疗效果进行评价。结果所有病例均获得为期12个月的临床及影像学随访。在末次随访的臂-肩-手功能障碍评分和掌倾角、尺偏角方面，A或B型组均显著优于C型组，差异均有统计学意义（均P＜0．05），A型组与B型组间差异无统计学意义（ P＞0．05）。在末次随访的满意度评分方面，C型组略低于A或B型组，但差异无统计学意义（P＞0．05）。结论老年桡骨远端骨折患者采用闭合复位石膏固定治疗的功能及影像学效果均较好，且改善程度和骨折严重程度有一定关联，但不会显著影响患者对该治疗的满意度。

Clinical and imaging efficacy observation of closed reduction and plaster splint fixation in the treatment of ge-rontal patients with distal radius fractures

Objective To discuss the clinical efficacy of closed reduction and plaster splint fixation （ CRPSF） in the treatment of gerontal patients with distal radius fractures （ DRF） .Methods 76 elderly patients with DRF who treated by CRPSF were selected .According to AO classification of fractures ,the patients were divided into three groups,the A group had 27 cases;B group had 26 cases,C group had 23 cases.The treatment effect was evalua-ted by analyzing the follow-up data,the corresponding imaging measurement parameters and clinical scores .Results All patients had 12-month clinical and imaging follow-up.In the last follow-up, the arm-shoulder-hand dysfunction score and palmar angle ,ulnar deviation angle of A and B group were significantly better than those of C group , the differences were statistically significant（all P0.05）.In the last follow-up,the satisfaction score of C group was slightly lower than that of the A or B group,but had no statistically significant difference （P〉0.05）.Conclusion CRPSF in the treatment of gerontal pa-tients with DRF has good function and imaging effects ,and the improvement level has a certain relationship with the degree of fracture,but has no significant impact on the patients＇satisfaction.