自制偏心牵引带在桡骨远端骨折中的临床应用

目的：探讨自制手法复位工具应用于桡骨远端骨折的临床疗效。方法：自2011年2月至2012年6月，62例闭合性桡骨远端骨折，男26例，女36例；年龄6～83岁，平均48．5岁。其中Colles骨折59例，Smith骨折2例，Barton骨折1例。应用自制腕带-偏心牵引带手法复位后，结合小夹板及石膏外固定治疗。治疗后立即行X线检查评估疗效。结果：61例达到优良骨折复位标准，仅1例没有达到标准。62例患者获得随访，随访时间2～6个月，平均3．6个月，依据Dienst功能评估标准评价，优49例，良11例，可1例，差1例。结论：应用自制腕带-偏心牵引带为辅助工具手法复位桡骨远端骨折，骨折接近解剖对位，能显著提高手法复位成功率。

Clinincal application of self-made eccentric traction belt in the treatment of distal radial fractures

Objective: To observe the curative effect of self-made eccentric traction belt as a manipulative reduction tool in the treatment of the distal radial fracture. Methods: From February 2011 to June 2012,62 patients with distal radial closed fractures were treated by manipulative reduction with self-made wristlet-eccentric traction belt and combined with the small splint and plaster external fixation. Among them,59 cases were Colles fractures,2 were Smith fractures,1 was Barton fracture. After the reduction,lateral X-ray imaging was used to evaluate curative effect immediately. Results: All the patients obtained excellent and good reduction in standard of fractures,only 1 case didn't. According to functonal assessment of Dienst,the results were excellent in 49 cases,good in 11,fair in 1,and poor in 1. Conclusion: Self-made wristlet-eccentric traction belt as a manipulative reduction tool to treat distal radius fractures,can make fractures close to the anatomic reduction,and can significantly improve the manual reduction success rate.