外固定架或石膏固定对桡骨远端不稳定性关节内骨折康复的影响

Redisplacementiseasytohappen，whentreatingunstablein－tra－articularfractureofdistalradiuswithtraditionalclose－replaceplasterfixationmethod．Usingexternalfixatortreatmentcankeeptractionconstantlyandpreventredisplacementandreplacementqualityishigh．Wetreated５２patientswiththesetwomethodsandcomparedtheresults．１Subjectandmethods１．１SubjectsIn－patientsandoutpatientsfromAugust１９９７toJanuary２０００whoaccordwithcriteriontobringinto．Criteriontobringinto：patientswithunstableintra－articu…

Rehabilitative effect on external fixator or cast immobilization for unstable intra-articular fracture of distal radius

Objective To investigate the advantage of external fixator in treatment of unstable intra articular fracture of distal radius and important of rehabilitation treatment. Methods Fifty two consecutive patients with unstable intra articular fractures of distal radius (Frykman type VII, VIII) were randomly divided into 2 groups.A group treated by external fixator and B group treated by closed reduction and cast immobilization. Using the scoring system of Stewart and Dinest assessed all patients. Wrist joint rang motion (ROM) was measured by using gonimeter pre and post rehabilitation treatment.Results Both the anatomical and functional results were significantly better in the external fixator group than in the cast immobilization group (P< 0.05), there was significantly difference of wrist joint ROM between pre and post rehabilitation treatment. Conclusion It is recommended the use of external fixator for unstable intra articular fractures of distal radius and rehabilitation treatment have an important role.