NEED THE THUMB BE IMMOBILIZED IN SCAPHOID FRACTURES - A RANDOMIZED PROSPECTIVE TRIAL

被引:126
作者
CLAY, NR
DIAS, JJ
COSTIGAN, PS
GREGG, PJ
BARTON, NJ
机构
[1] LEICESTER ROYAL INFIRM,LEICESTER LE1 5WW,ENGLAND
[2] QUEENS MED CTR,NOTTINGHAM NG7 2UH,ENGLAND
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1991年 / 73卷 / 05期
关键词
D O I
10.1302/0301-620X.73B5.1894676
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Immobilisation of the thumb is widely believed to be important in the management of fractures of the carpal scaphoid. To assess the need for this, we randomly allocated 392 fresh fractures for treatment by either a forearm gauntlet (Colles') cast, leaving the thumb free, or by a conventional 'scaphoid' plaster incorporating the thumb as far as its interphalangeal joint. In the 292 fractures which were followed for six months, the incidence of nonunion was independent of the type of cast used.
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页码:828 / 832
页数:5
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