Objective To summarize the experience in distal radius fracture reduction of senile people with osteoporosis by reviewing literatures retrospectively. Methods Clinical data of 29 senile patients with unilateral distal radius closed fractures treated in the Department of Emergency, from December 2011 to March 2012, were analyzed retrospectively. All the patients received closed reduction with small splint fixation. Results The follow-up period was 3-6 months, with an average of 4. 2 months. X ray imaging data of all the 29 patients after the treatment were traced and analyzed. PRWE scores of 20 patients were graded after telephone follow-up. The average PRWE score was 33. 12. The average a distance between the distal radius and the distal ulna was 0. 62cm. The radial incline A angle was 3. 93° , and the ulnar incline B angle was 19. 17°. The radial incline A angle of 8 patients, 71 years old in average, was minus angle. Seven of the 8 patients were followed-up, and their average PRWE score was 34. 2. No complications such as wrist skin lesion occurred during the whole treatment period. Conclusion During the reduction treatment of osteoporotic distal radius fractures, doctors should make decisions according to the situations of different patients.%目的 回顾性文献总结老年骨质疏松性桡骨远端骨折的复位治疗体会.方法 回顾性分析2011 年12月～2012年3月在急诊科收治的29 例单侧桡骨远端闭合骨折老年患者临床资料,全部采用闭合复位小夹板固定治疗.结果 随访时间为3～6个月,平均4.2个月.所有29例患者,治疗后的X光片影像学资料均得到追踪阅读.其中20例患者通过电话随访得出PRWE评分结果,其平均值为33.12.桡骨远端与尺骨远端距离a平均值0.62 cm,掌倾角A3.930,尺偏角B19.170.其中有8例患者掌倾角A为负角,平均年龄71岁,其中7例患者PRWE评分得到随访,平均值为34.2.在治疗过程中无发生腕部皮肤损伤等并发症.结论 骨质疏松性桡骨远端骨折在复位治疗时要因人而宜、辩证施法.
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