The Application Value of Old Colles Fracture X-ray Frykman Classification in the Choice of Treatment Plan

doi:10.7517/issn.1674-0475.190718

Abstract

Abstract: This retrospective study was designed to explore the value of X-ray Frykman classification of elderly Colles fractures in the choice of treatment options. 120 elderly patients with Colles fractures admitted between January 2015 and January 2018 were enrolled in the study. X-ray examination and Frykman classification were performed to compare the X-ray palm dip and ulnar angle of patients with different Frykman classifications. According to Frykman classification, patients were divided into intra-articular and external fractures. The treatment methods and X-ray indexes of patients with two types of fractures were compared and the therapeutic effect of different treatments in different groups was evaluated by Lidstrom treatment. The results showed that 120 patients with Colles fracture were classified according to Frykman:26 cases (21.67%) of type I, 29 cases (24.17%) of type Ⅱ, 14 cases (11.67%) of type Ⅲ, and 16 cases (13.33%) of type Ⅳ. 12 cases (10.00%) of type Ⅴ, 11 cases (9.17%) of type Ⅵ, 8 cases (6.77%) of type Ⅶ, and 4 cases (3.33%) of type Ⅷ. Of the 120 patients, 55 patients with extra-articular fractures, of which 30 underwent conservative treatment and 25 underwent surgery; 65 patients with intra-articular fractures, 29 of whom underwent conservative treatment and 36 underwent surgery. The degree of palm dip, ulnar deviation and humeral shortening of surgical treatment after treatment were significantly better than those of conservative treatment (P<0.05). Total acceptable rate of treatment for patients with extra-articular Colles fracture (72.73%) was equivalent to total acceptance rate for intra-articular treatment (75.38%) (χ²=0.11, P=0.74); total acceptable rate of surgical treatment for the extra-articular group (88.00%) was higher than conservative treatment (73.33%) (χ²=1.83, P=0.18); the total acceptable rate of surgery in the intra-articular group (91.67%) was significantly higher than that of conservative treatment (55.17%) (χ²=11.53, P=0.00)). This study confirmed that the X-ray Frykman classification of the elderly Colles fracture has application value in the treatment options. The extra-articular fractures are equivalent to the surgical and conservative treatments. The patients with intra-articular type prefer to surgical treatment.

Key words: Colles fracture, Frykman classification, Lidstrom treatment effect classification

REN Hong, CHEN Hua. The Application Value of Old Colles Fracture X-ray Frykman Classification in the Choice of Treatment Plan[J]. Imaging Science and Photochemistry, 2019, 37(6): 624-630.

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