Study on the curative effect of finger-trap traction combined with manual reduction and external fixation in the treatment of elderly distal radius fractures
LI Hai-bo,MA Bao-tong
Department of Integrative Chinese and Western Medicine, Tianjin Hospital, Tianjin University, Tianjin300211, China
Abstract:
Objective To compare the clinical effect of finger-trap traction combined with manual reduction external fixation with manual reduction external fixationalone in the treatment of elderly distal radius fractures. Methods Aged patients with distal radius fracture treated in Tianjin Hospital of Tianjin University from March 2022 to March 2023 were selected and divided into two groups: finger-trap traction combined with manual reduction group and manual reduction group by random number table method. Wrist range of motion, pain and Gartland-Werley wrist score were compared between the two groups at 2 days, 1 week, 2 weeks, 4 weeks, 8 weeks, 12 weeks and 20 weeks after manual reduction. Results There were 487 cases in the finger-trap traction combined with manual reduction group and 491 cases in the manual reduction group. Compared with manual reduction alone, finger-trap traction combined with manual reduction significantly improved the range of motion of dorsiflexion (P=0.024), ulnar deviation (P<0.001) and palmarflexion (P=0.003). The Gartland-Werley wrist function scores at 8 weeks (P<0.001), 12 weeks (P=0.022), and 20 weeks (P=0.002) were decreased, but did not significantly inhibit subjective pain ofpatient during follow-up. Conclusion The finger-trap traction combined with manual reduction external fixation can partially improve the range of motion and function of wrist joint in elderly patients with distal radius fracture.
