摘要
目的比较切开复位锁定钢板内固定与闭合复位夹板外固定这两种治疗方法对桡骨远端骨折的不同疗效。方法选择在我院治疗的桡骨远端骨折患者60例,随机分为研究组和对照组各30例,研究组行切开复位锁定钢板内固定,对照组行闭合复位夹板外固定,所有患者都获得12~18个月的随访,X光照片显示两组患者桡骨远端骨折全部愈合。经治疗后对比两组患者在恢复腕关节功能和桡骨远端掌倾角和尺偏角的治疗效果。结果研究组患者术后腕关节功能优良率高于对照组,两组差异有统计学意义(P<0.05),研究组患者术后桡骨远端掌倾角和尺偏角优于对照组,两组差异有统计学意义(P<0.05)。结论采用切开复位锁定钢板内固定相对于闭合复位夹板外固定在恢复腕关节功能和桡骨远端掌倾角和尺偏角方面,能获得更好的治疗效果。
Objective To compare the different effects of open reduction and locking plate internal fixation and closed reduction and splint external fixation on distal radius fractures.Methods 60 patients with distal radius fracture treated in our hospital were randomly divided into the study group and the control group,30 cases in each group.The study group was treated with open reduction and locking plate internal fixation,and the control group was treated with closed reduction and splint external fixation.All patients were followed up for 12 to 18 months.X-ray films showed that the distal radius fractures of the two groups healed completely.After treatment,the therapeutic effects of wrist joint function and distal radius palmar inclination and ulnar deflection were compared between the two groups.Results The excellent and good rate of wrist joint function in the study group was higher than that in the control group,and the difference between the two groups was significant(P<0.05).The palmar and ulnar deviation of the distal radius in the study group was better than that in the control group,and the difference between the two groups was significant(P<0.05).Conclusion Open reduction and locking plate internal fixation is better than closed reduction splint external fixation in restoring wrist joint function and distal radius metacarpal and ulnar deviation angle.
作者
林望得
LIN Wang-de(Department of Orthopedics,Gaoming District Hospital,Foshan,Guangdong 528500)
出处
《智慧健康》
2020年第7期90-92,共3页
Smart Healthcare
关键词
桡骨远端骨折
切开复位锁定钢板内固定
闭合复位夹板外固定
腕关节功能
Distal radius fracture
Open reduction and locking plate internal fixation
Closed reduction and splint external fixation
Wrist joint function
