桡骨远端骨折手法复位电子智能夹板固定的临床研究

目的：观察桡骨远端骨折经正骨手法复位电子智能夹板和传统夹板固定后,并发症的预防、骨折愈合、腕关节功能恢复情况。方法：将符合诊断标准、纳入标准及排除标准的桡骨远端骨折患者60例,按照就诊时间的先后顺序随机分为电子智能夹板组、传统夹板组各30例。经正骨手法复位电子智能夹板固定和传统夹板固定治疗后观察和随访6个月。疗效对比评价采用Gartland and Werlley的腕关节评分标准,影像学评价从治疗前及治疗6周后尺偏角、掌倾角、桡骨高度3方面进行评价,对术后2周内肿胀、疼痛进行评估。结果：所有患者均随访6个月,根据Gartland and Werlley的腕关节评分标准、肿胀评分（复位后1天、3天、7天、14天）、疼痛评分（复位后3天、7天、14天）,电子智能夹板组疗效明显优于传统夹板组（P〈0.05）。2组治疗6周后影像指标比较,差异无统计学意义（P〉0.05）。结论：电子智能夹板治疗桡骨远端骨折与传统夹板比较,可更有效减轻肿胀、疼痛及预防肢体末端缺血、最大限度恢复腕关节功能。

Clinical Study on Treating Barton Fracture by Manipulative Reduction and Fixation with Electronic Intelligent Splint

Objective：To explore the conditions of preventing the complications, the healing of bone fracture and the recovery of wrist joints function by comparing the effects of manipulative reduction combined with electron-ic intelligent splint and traditional splint for Barton fracture. Methods：Sixty patients were randomized into electronic intelligent splint group and traditional splint group, 30 cases each group. The patients were treated by manipulative reduction, fixed by electronic intelligent splint or traditional splint, they were observed and followed up for six months. Therapeutic effects of both groups were compared and assessed by taking Gartland and Werlley wrist joint scaling as the standard, imagine evaluation was performed from ulnar inclination, volar inclination and radial height before treating, in six weeks after treating, the swelling and pain judged in two weeks after the surgery. Results：All the patients were followed up for six months, according to the standard of Gartland and Werlley wrist joint scaling, swelling scales （in one day, three days, seven days and 14 days after the reduction） and pain scales （in three days, seven days and 14 days after the reduction）, clinical effects of electronic intelligent splint group were superior to these of traditional splint group significantly （P〈0.05）. The difference had no statistical meaning in the comparison of the imaging between both groups in six weeks after treating （P〉0.05）. Conclusion：Electronic intelligent splint in treating Barton fracture could effectively relieve swelling, pain and prevent the ischemia of extremities, and promote the recovery of wrist joint function maximally.