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背侧双钢板与掌侧T型钢板治疗桡骨远端不稳定骨折的疗效比较 被引量:10

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摘要 目的比较背侧双钢板与掌侧T型钢板治疗桡骨远端不稳定骨折的疗效。方法回顾性分析2008年8月至2010年8月收治的28例桡骨远端不稳定骨折患者资料,男8例,女20例;年龄31~65岁,平均50.7岁;所有骨折均为闭合性骨折。骨折按照AO分型:A3型4例,B3型2例,C1型5例,C2型6例,C3型11例。根据治疗方式不同,分为双钢板组(采用背侧双钢板固定)11例和T型钢板组17例(采用掌侧T型钢板固定)。比较两组患者手术时间、骨折愈合时间、掌倾角、尺偏角、术后早期和远期并发症、术后腕关节功能恢复等。结果所有患者术后获12~16个月(平均14.4个月)随访。两组患者在骨折愈合时间掌倾角、尺偏角、术后早期并发症、腕关节功能恢复等方面差异均无统计学意义(P〉0.05);但两组患者在手术时间、术后远期并发症差异有统计学意义(P〈0.05)。结论采用背侧双钢板或掌侧T型钢板治疗桡骨远端不稳定骨折,各有其适应证和优、缺点,背侧双钢板技术手术时间相对延长,但远期并发症较掌侧钢板相对减少。
出处 《中华创伤骨科杂志》 CAS CSCD 北大核心 2012年第12期1095-1097,共3页 Chinese Journal of Orthopaedic Trauma
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同被引文献105

  • 1白晓军,葛郁龙,贺永进.AO钛制弹性髓内钉TEN治疗儿童前臂骨干骨折[J].中华临床医师杂志(电子版),2012,6(19):6124-6126. 被引量:4
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