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| Effectiveness of Manual Revision Splinting in the Treatment of Distal Radius Fractures and the Influence on Wrist Mobility |
| HUANG Zhihong |
| Nanjing County Hospital, Zhangzhou City, Fujian Province, Nanjing 363600, China |
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Abstract Objective: To investigate the effect of manual revision splinting in the treatment of distal radius fractures and the influence on wrist mobility. Method: One hundred patients with distal radius fractures treated at Nanjing County Hospital, from January 1st, 2019 to January 1st, 2022 were selected and divided into observation group (n=50) and control group (n=50) using the random number table method. The control group received surgical treatment and the observation group received manual revision splinting, and the total treatment efficiency, pain score, swelling score, wrist function score, wrist mobility, grip strength and complication rate of the two groups were compared. Result: After six months of treatment, the total effective rate of treatment in the observation group (96.00%) was higher than that in the control group (84.00%) (P<0.05). Before treatment, there were no significant differences in the visual analog scale (VAS) score, wrist swelling score and Cooney wrist function score between the two groups (P>0.05); after 1 month of treatment, the VAS score and wrist swelling score decreased in both groups, and the observation group were lower than those of the control group (P<0.05); the Cooney wrist function score increased in both groups, and the observation group was higher than that of the control group (P<0.05). Before treatment, there were no significant differences between the two groups in anterior rotation, posterior rotation, dorsiflexion, palmar flexion and radial deviation of the wrist joint (P>0.05); after 1 month of treatment, all the activities of the two groups increased, and the observation group were higher than those of the control group (P<0.05). Before treatment, the difference in grip strength on the affected side was not significant between the two groups (P>0.05); after 1 month of treatment, the grip strength on the affected side increased in both groups, and the observation group was higher than that of the control group (P<0.05). The incidence of complications in the observation group (2.00%) was lower than that in the control group (14.00%) (P<0.05). Conclusion: The treatment of distal radius fracture with manual revision splinting is effective, can reduce wrist pain, reduce swelling, improve wrist mobility and grip strength, promote wrist function recovery, reduce complications, and is safe and effective.
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Received: 10 February 2023
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