Abstract:

BACKGROUND: Common external fixation methods for distal radius fracture include plaster external fixation and Chinese medical practitioner, low-temperature thermoplastic brace is a new developed method for external fixation, it remains unclear whether it is superior to other fixation methods.
OBJECTIVE: To observe the therapeutic effectiveness on the functional recovery of extension fracture in the distal radius by using low-temperature thermoplastic braces.
METHODS: A total of 96 patients with extension fracture in the distal radius were recruited from West China Prosthetic Orthopedic Centre of Sichuan University from December 2007 to January 2010. They were randomly divided into three groups, low-temperature thermoplastic braces, Chinese medical practitioner and plaster splints, with 32 cases in each group. All groups underwent manipulative reduction and suitable functional exercise, as well as medication according to the age, healthy state and injury state of the patients.
RESULTS AND CONCLUSION: Compared with low-temperature thermoplastic braces group, the healing rate was significantly reduced in Chinese medical practitioner and plaster splints groups (P < 0.05), the complications and restricted range of motion were significantly increased (P < 0.05). The external fixation with manipulative reduction and low-temperature thermoplastic brace outperformed the conventional approaches using plates and plaster splints. It is safe, effective, functional, and produces less complications which is recommended for extended uses.