Cast vs External Fixation: A Comparative Study in Elderly Osteoporotic Distal Radial Fracture Patients

Cast vs External Fixation: A Comparative Study in Elderly Osteoporotic Distal Radial Fracture Patients
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石膏与外固定架:老年骨质疏松性桡骨远端骨折患者的比较研究

DOI:
10.1177/145749690409300114
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发表时间:
2004
影响因子:
2.4
通讯作者:
S. Giannini
S. Giannini
中科院分区:
医学3区
文献类型:
--
作者:
A. Moroni;F. Vannini;C. Faldini;F. Pegreffi;S. Giannini

文献摘要

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目的:比较石膏石膏和外固定治疗骨折的效果。方法:选取40例老年女性骨质疏松性腕部骨折患者,随机分为石膏石膏组(A组)和外固定架组(B组)。骨密度小于- 2.5 t评分为纳入标准。结果:A组有4例移位,B组无移位(p = 0.005)。B组的Horesh评分高于a组(p < 0.006)。B组的掌侧角畸形(p < 0.0005)和桡侧角畸形(p = 0.008)均低于a组。结论:外固定能提高老年骨质疏松性腕关节骨折患者的稳定性。
Aim: This study compared fracture treatment with plaster cast vs external fixation. Methods: Forty elderly female osteoporotic wrist fracture patients were randomized to be treated with either plaster cast (Group A) or external fixation (Group B). Bone mineral density less than −2.5 T-score was among the inclusion criteria. Results: In Group A, four redisplacements occurred, whereas in Group B there were none (p = 0.005). Horesh score was higher in Group B (p < 0.006) than in Group A. Volar angle deformity (p < 0.0005) and radial angle deformity (p = 0.008) were lower in Group B. Conclusions: This study shows that external fixation improves stability in elderly osteoporotic wrist fracture patients.