원위 요골 골절 도수정복 후 부목 종류가 골절 전위에 미치는 영향: Short Arm Double Splint와 Sugar-Tong Splint의 비교 = Effect of Different Splints on Displacement after Closed Reduction of the Distal Radius Fractures: A Comparison of Short Arm Double Splint and Sugar-Tong Splint

다국어 초록 (Multilingual Abstract)

Purpose: This study was to compare short arm double splint allowing forearm rotation with sugar tong splint in terms of loss of reduction and incidence of shoulder stiffness after closed reduction of the distal radius factures.
Methods: From June 2012 to February 2013, we retrospectively reviewed patients with distal radius fractures applied short arm double splint or sugar tong splint after closed reduction. Patients with more than 18 years old, acceptable reduction in X-ray and followed up at least 4 weeks were enrolled. Short arm double splint (SD) group was applied in 47 cases and sugar tong splint (ST) group was 34 cases. Gender, age and fracture types were not significantly different between two groups. The radiographic parameters were measured for palmar tilt, articular step-off, radial length, radial inclination, ulnar variance. The incidence and time of the reduction loss were also evaluated. In functional outcomes, the occurence of ipsilateral shoulder stiffness and the disabilities of the arm, shoulder and hand (DASH) score were evaluated with the medical records or telephone questionnaires at 6 months after initial trauma.
Results: Loss of reduction was occured 16 cases in SD group (34%) and 10 cases in ST group (29.4%), which did not differ significantly between the groups (p=0.169). The DASH score and shoulder stiffness were not statistically different between two groups.
Conclusion: There was no significant difference in loss of reduction after closed reduction of distal radius fractures and functional outcomes in both groups.

국문 초록 (Abstract)

목적: 원위 요골 골절의 도수 정복 후 sugar tong splint를 사용한 군과 전완의 회전 운동을 허용하는 short arm double splint를 사용한 군에서 정복 소실 및 견관절의 강직 정도를 비교하였다.
방법: 2012년 6월부터 2013년 2월까지 전위성 원위 요골 골절로 내원하여 도수 정복 및 sugar-tong splint 또는 short arm double splint를 적용하고 성공적인 정복을 얻었던 환자 중 최소 4주간 외래에서 추시 관찰한 18세 이상의 환자를 대상으로 후향적으로 조사하였다. 도수 정복 후 short arm double splint를 적용한 군(SD군)은 47명, sugartong splint를 적용한 군(ST군)은 34명이었으며, 두 군 간 성별, 연령 및 골절 형태는 통계학적으로 유의한 차이가 없었다. 방사선학적 평가로 추시 시 palmar tilt, articular step-off, radial length, radial inclination, ulnar variance를 측정하였고, 정복의 소실 유무와 그 시기에 대해 조사하였다. 기능적 평가로 수상 후 6개월에 의무기록 및 전화 설문에서 수상한 상지의 새로운 견관절 강직 발생과 disabilities of the arm, shoulder and hand (DASH) score를 평가하였다.
결과: 전정복 소실의 발생은 SD군에서 16예(34%), ST군에서는 10예(29.4%)에서 보여, 두 군 간 유의한 차이는 없었다(p=0.169). DASH score 및 견관절 강직 및 통증은 두 군 간 유의한 차이를 보이지 않았다.
결론: 두 군에서 원위 요골 골절 정복 후 정복의 소실 및 기능적 결과에서 유의한 차이를 보이지 않았다.

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