Treatment of 127 Cases of Distal Ulnar and Radial Fractures in Children by External Fixation with a Small Splint after Fold-Top Manipulation in the Rotated Anterior Position
Objective:To investigate the clinical efficacy of using the combination of rotational anterior fold-top manipula-tion and small splint external fixation in the treatment of distal ulnar and radial fractures in children.Methods:127 children with fresh,closed fractures of the distal ulnar and radial bones without vascular or nerve injury were treated with anterior rotational fracture topping combined with external fixation of small splints.Results:All 127 children were followed up for 3-8 months,with an average of 6 months.The fractures healed in 4-6 weeks without complications such as vascular or nerve injury.The clinical results were evaluated according to Anderson's criteria for evaluating the efficacy of forearm fractures.79 cases were excellent,44 cases were good,and 4 cases were acceptable,with an excellent rate of 96.9%.Con-clusion:The treatment of children's lower ulnar radius fracture by the combination of anterior rotation fracture top manip-ulation and small splint external fixation can improve the success rate of repositioning and the stability of the fracture end.This method has high safety,significant clinical effect and no complications and other adverse effects,which is worthy of clinical promotion.
distal ulnar and aadial fracturesmanual rehabilitationsmall splintchildren