RUSS and DXA scores and clinical effects of zoledronic acid combined with plaster fixation in the treat-ment of elderly patients with distal radius fractures and OP
Objective To explore the RUSS and DXA scores and clinical effects of zoledronic acid combined with plaster fixation in the treatment of elderly patients with distal radius fractures and OP.Methods A total of 98 elderly patients with osteoporotic distal radius fractures admitted to Xi'an Eighth Hospital from April 2019 to May 2022 were selected and divided into a control group(49 cases)and an observation group(49 cases)by treatment methods.All patients were treated with plaster fixation,osteoporosis intervention,and manual reduction.On this basis,the observation group was treated with zoledronic acid injection in combination,and the RUSS,DXA dynamic evaluation scores,and fracture healing time of the two groups of patients were compared.After 60 days of treatment,follow-up was conducted using the Gart land Werley wrist joint function score.After 90 days of treatment,patients were followed up and the prognosis of the two groups of patients was compared using the PRWE patient self-evaluation scale.Results The fracture healing time in the control group was(5.9±1.2)weeks,while in the observation group it was(5.8±1.1)weeks(P＞0.05).The RUSS score of the observation group was significantly higher than that of the control group at weeks 2,4,and 6(P＜0.05).The control group had a Gart-land-Werley score of(8.3±3.0),while the observation group had a score of(6.4±2.6).The PRWE score in the control group was(19.6±6.0),while the score in the observation group was(14.3±4.6)(P＜0.05).After 90 days of treatment,the bone density of the observation group was significantly increased compared to the control group(P＜0.05).Conclusion Zoledronic acid combined with manual reduction and plaster fixation can increase bone density,improve osteoporosis,enhance clinical efficacy,regulate bone score,have high safety,and have a good prognosis in elderly patients with distal radius fractures.
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