Clinical Analysis Of The Treatment Of Unstable Distal Radius Fractures With Manual Reduction Of Traditional Chinese Medicine

Objective: Observation of manipulative reduction and splint fixation and clinical efficacy of open reduction and internal fixation for the treatment of unstable fractures of the distal part of the radius of, through of unstable fractures of the distal part of the radius of two different treatment scheme comparison of their clinical efficacy of unstable fractures of the distal part of the radius, to choose the treatment plan provides the basis.Methods: December 2014 to december 2015 were selected, in the Department of Orthopaedics; the Fourth Affiliated Hospital of Xinjiang Medical University hospitalized fracture patients, according to the diagnostic criteria, inclusion criteria and exclusion criteria selected in line with requirements of 76 cases as the research object, according to the patients and their families into the choice of manipulative reduction and splint fixation group(treatment group) and open reduction and internal fixation group(control group), 38 cases in each group. Two groups of patients first visit underwent wrist standard X-ray is lateral check, unstable fracture of the distal radius by Rizzo diagnostic criteria to define,Stewart modified score with measured data, and according to AO classification standard can be divided into: treatment group A3 type: 4 cases, type B: 23 cases, type C: 11 cases,control group A3 type: 3 cases, type B: 24 cases, type C: 11 cases. After the operation in 2,4, 8, 12 weeks and follow-up, collect relevant imaging and wrist score data. And SPSSl7.0software was used for statistical analysis, and compared different treatment methods for unstable distal radius fractures.Results: All patients were followed up, follow-up time of 3months, two groups of patients with X-ray showed that all healing. The control group to correct radial shortening effect was significantly higher than the treatment group(P <0.05), but the normal anatomy and function and the treatment group on the recovery ofwrist joint had no significant difference(P > 0.05).Conclusion:The two treatment options for the treatment of unstable distal radius fractures can achieve satisfactory curative effect,manual reduction splint fixation is not achieved anatomical reduction, but the wrist joint function is not limited. Manipulative reduction in the treatment of complex unstable distal radius fractures is easy to be displaced again, the risk of abnormal healing is higher, and the functional recovery is poor.