Objective To explore the effects of conservative treatment and open reduction with internal fixation on the quality of life and therapeutic effect of the elderly over 65 years old.Methods The 81 patients with distal radius fractures in our hospital from June 2020 to February 2022 were selected and divided into a manual group(46 cases)and an incision group(35 cases).The manipulation group was treated with fracture reduction and high polymer polyester bandage fixation;the incision group was treated with open reduction and internal fixation surgery.X-ray films were used to compare the ulnar deviation,palmar deviation and radius height before and after treatment.To assess treatment.The modified Mayo wrist score(MMWS),DASH-Chinese upper limb function score and the incidence of complications in the last follow-up were counted to evaluate the prognosis of the patients.Results After treatment,the ulnar deviation angle,palmar deviation angle,and radius height of the two groups increased compared to before treatment(P＜0.05);after treatment,the ulnar deviation angle,palmar deviation angle,and radius height in incision group were higher than those in manipulation group(P＜0.05).After treatment,the MMWS of the two groups increased compared to before treatment,while the DASH-Chinese upper limb function score decreased compared to before treatment(P＜0.05);after treatment,the MMWS of incision group was higher than that of manipulation group,while the DASH-Chinese upper limb function score was lower than that of manipulation group(P＜0.05).The incidence of complications in group B was lower than that in manipulation group(P＜0.05).Conclusion The results of this study show that open reduction and internal fixation has obvious clinical advantages in the treatment of distal radius fractures in the elderly,and can promote the recovery of wrist and upper limb function.
关键词
桡骨远端骨折/老年人/高分子聚酯绷带固定/保守治疗/切开复位内固定
Key words
Distal radius fractures/elderly/plaster fixation/conservative treatment/open reduction and internal fixation
维普
万方数据