Clinical Observation of"WANG's Five-Step Method"Manipulative Rectification in Treatment of Distal Radius Fracture in the Elderly
Objective:To observe the clinical effect of"WANG's five-step method"manipulative rectifi-cation in the treatment of distal radius fractures in the elderly.Methods:A total of 60 elderly patients with distal radius fracture were selected and divided into the observation group and the control group according to the random number table method,with 30 cases in each group.The control group was treated with open reduction and anatomical locking titanium plate internal fixation of distal radius fractures,and the observation group was treated with"WANG's five-step method"manipulative rectification.The operation time,hospital stay,pain score,Cooney wrist function score and radius height of the two groups were statistically compared,and the safety of the two treatment methods was evaluated.All patients were followed up for 3 months.Results:The hospital stay and operation time of the observation group were shorter than those of the control group(P＜0.05).After treatment,the pain scores of both groups were lower than those before treatment(P＜0.05),and the height of radius was increased(P＜0.05).The pain score of the observation group was lower than that of the control group half a month after operation(P＜0.05).Half a month after operation,there was no significant difference in radius height between the two groups(P＞0.05).The radius height of the control group was better than that of the observation group one and a half months and three months after operation(P＜0.05),and there were six cases of radial height loss in the observation group;There was no significant difference in Cooney score between the two groups(P＞0.05).In terms of safety,there was 1 case of postoperative infection and 1 case of delayed fracture healing in the control group,while there was no complication in the observation group.Conclusion:"WANG's five-step method"manipu-lative rectification is beneficial to fracture healing and functional recovery of wrist joint,and it can effectively avoid complications of open surgery.Although postoperative imaging shows partial radius height loss,it does not affect the recovery of the wrist function.
WANG's five-step methodfracture of distal radiusmanipulative rectificationwrist functionsplintinternal fixation
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