摘要
目的回顾性研究手法复位外固定与LCP治疗的老年骨质疏松性桡骨远端关节内骨折临床疗效。方法在143例老年骨质疏松性桡骨远端关节内骨折治疗中,106例采用了手法复位外固定,37例采用了切开复位LCP内固定,所有的患者根据改良的Mcbride评分标准评价。结果术后随访14～22个月,平均随访18.3个月。外固定优良率为56.6%,内固定为89.2%,二者之间的差异有明显的统计学意义。结论LCP治疗老年骨质疏松性桡骨远端关节内骨折较手法复位外固定有更加良好的效果。
Objective To study the clinical efficacy of two methods, closed reduction external immobilisation and locking compression plate （LCP） for treatment of acute intra-articular distal radius fractures in old osteoporosis patients. Methods In 143 patients with acute intra-articular distal radius fractures,107 underwent closed reduction plaster or splint immobilisation and 37 open reduction and fixed with LCP. The clinical effect were analyzed according to modified Mcbride grading system and X-ray imaging after operation Results Followup ranged from 14 to 22 months （mean 18.3 months）.The good excellent rate was 56.6% in external immobilization groups, and it was 89.2% in LCP groups.There were significant differences between the two groups. Conclusion LCP fixation achieves significantly better anatomical and functional results than closed reduction and external fixation in treatment of elderly osteoporotie intra-articular distal radius fractures.
出处
《中国骨与关节损伤杂志》
2009年第5期396-398,共3页
Chinese Journal of Bone and Joint Injury
关键词
桡骨远端
关节内骨折
骨质疏松
外固定
锁定加压钢板
Distal radius
Intra-articular fractures
Osteoporosis
External immobilisation
LCP
