Effects and nursing cooperation of composite splint fixation in the treatment of displaced dis-tal radius fractures
Objective To investigate the effects and nursing cooperation of composite splint fixation in the treatment of displaced distal radius fractures.Methods From Aug.2020 to Sep.2022,25 patients with distal radi-us fractures fixed with self-designed composite splint fixators were retrospectively studied.There were 11 males and 14 females aged 32-79(mean 56.9)years.The nurses cooperated with doctors to conduct reduction and traction.Moreover,they closely observed and guided patients on how to correctly use the devices during traction.Fracture displacement was assessed using the Lidström imaging grading,and the wrist joint function recovery was evaluated by Cooney criteria and patient-rated wrist evaluation(PRWE),respectively.Results The swelling score at 1 week af-ter fixation was 2.1±0.5.Six cases(24％)had re-displacement,which was related to the relaxation of the traction belt without timely re-adjustment or correction.For these 6 cases,2 achieved satisfactory reduction after a second re-duction,1 continued splint immobilization without re-reduction,and the other 3 received surgery(surgery rate 12％).Patients were followed up for 6-12 months,mean 8.1 months.All fractures healed in 5-8 weeks,mean 5.9 weeks.No local bedsores or nerve compression symptoms was reported.At the last follow-up,the radial height was(9.0±1.3)mm,palmar inclination 8.0°±3.1°,ulnar declination 22.3°±2.2°,palmar flexion 41.4°±11.0°,dorsal extension 36.1°±8.9°,radial inclination 23.1°±10.0°,ulnar inclination 27.0°±5.2°,pronation 70.4°±7.5°,and supination 71.5°±9.6°.The hand grip strength recovered to 77.7％±6.0％of the contralateral side,the VAS was 0.6±0.6,Cooney criteria 87.9±8.6,the excellent and good rate of the wrist function reached 88％,and the PRWE scored 18.7±3.1.Conclusion The composite splint fixation for displaced distal radius fractures is safe and has a low incidence of fracture shortening and surgery.During the traction period,maintaining appropriate tension of the traction belt and good guidance for patients on how to use the traction devices play a crucial role in the therapeutic effect.
万方数据
维普
