背景:非手术治疗通常适用于桡骨远端关节外骨折。通常使用诸如糖钳夹板(STs)和明斯特夹板(MU)的保守治疗。然而,比较两种夹板类型的研究和结果数据有限。因此,本研究旨在调查和比较使用STs和MUs治疗的影像学结果和临床结果.
方法:在这项回顾性比较研究中,我们旨在评估和比较STs和MU治疗桡骨远端骨折的影像学结果和临床结果.该研究包括64名在急诊室接受闭合复位(CR)并接受STs或MU夹板治疗的患者(STs组:n=38,MU组:n=26)。初始X射线,CR后X射线,并对最后一次门诊随访X线进行评估。径向高度(RH),尺骨方差(UV),径向倾角(RI),和掌侧倾斜(VT)由一名盲症研究者测量。QuickDASH表格用于测量患者治疗后的满意度。
结果:基线特征无显著差异,初始射线照相测量,或在两组之间CR后立即进行射线照相测量。然而,与CR后图像相比,两组的总体放射学值都有一定程度的下降.此外,使用配对测试,STs组RH和RI差异显著,MUs组在末次随访和CR后图像之间的RH和UV显示显着差异。
结论:该研究得出结论,两种夹板类型之间的临床结果没有差异。然而,ST和MU组均显示放射学参数降低,而MUs组在治疗桡骨远端骨折时RH和UV明显减少。
方法:IV级;回顾性比较;治疗研究。
BACKGROUND: Non-operative management is typically indicated for extra-articular distal radius fractures. Conservative treatments such as Sugar tong splints (STs) and Muenster splints (MUs) are commonly used. However, there is limited research and outcome data comparing the two splint types. Therefore, this
study aimed to investigate and compare the radiographic and clinical outcomes of treatment using STs and MUs.
METHODS: In this retrospective comparative
study, we aimed to evaluate and compare the radiographic and clinical outcomes of STs and MUs for the treatment of distal radius fractures. The
study included 64 patients who underwent closed reduction (CR) in the emergency room and were treated with either STs or MUs splints (STs group: n = 38, MUs group: n = 26). Initial X-rays, post-CR X-rays, and last outpatient follow-up X-rays were evaluated. Radial height (RH), ulnar variance (UV), radial inclination (RI), and volar tilt (VT) were measured by a blinded investigator. The Quick DASH form was applied to measure patients\' satisfaction after treatments.
RESULTS: There were no significant differences in baseline characteristics, initial radiographic measurements, or radiographic measurements immediately after CR between the two groups. However, the overall radiological values deteriorated to some degree in both groups compared to the post-CR images. Furthermore, using a paired test, the STs group showed significant differences in RH and RI, and the MUs group showed significant differences in RH and UV between the last follow-up and post-CR images.
CONCLUSIONS: The
study concluded that there was no difference in clinical outcomes between the two splint types. However, both STs and MUs groups showed reduced radiographic parameters, and the MUs group showed a significant reduction of RH and UV in the treatment of distal radius fractures.
METHODS: Level IV; Retrospective Comparison; Treatment
Study.