摘要
目的探讨不同固定方式治疗桡骨远端不稳定骨折的临床疗效。方法选择2009年1月-2011年9月辽宁海城市骨伤病医院骨科收治的桡骨远端不稳定骨折患者66例,所有患者经影像学及临床诊断确诊为闭合性桡骨远端不稳定性骨折。所有患者按配对原则分为切开复位内固定组和闭合复位外固定器治疗组,各33例。对比两组患者手术前后桡骨远端腕关节恢复情况。结果术后评价随访(12.6±4.6)个月,两组患者均无明显术后感染、医源性神经、血管损伤等并发症。两组患者术后均恢复良好,桡骨高度、掌倾角、尺偏角比较,差异均无明显统计学意义(P>0.05)。Batra解剖学复位评分:外固定器组(91.2±11.6)分,内固定组(94.4±12.8)分,两组比较差异无统计学意义(P>0.05);功能评分:外固定器组(95.2±13.2)分,内固定组(96.2±9.8)分,两组比较差异无统计学意义(P>0.05)。结论外固定器同切开复位钢板内固定治疗桡骨远端不稳定性骨折均有较好疗效,两种治疗方法无明显差别。
Objective To evaulate the internal fixation, external fixation combined treatment for an unstable distal radius fracture clinical curative effect. Methods 66 cases of radial fracture patients were selected from orthopaedic department from Jan 2009 to Sep 2011 as the research object, all patients by imaging and clinical diagnosed with unstable dorsally displaced distal radius fractures and instability for closed fracture.All patients with matching principle is divided into internal fixation group and external fixation group of each 33 cases. Clinical comparison between two groups before and after surgery in patients with radial recovery. Results All cases were followed up within （12.6±4.6） months, patients have noobvious infection, iatrogenic nerve, blood vessel damage, and other complications.Radial height,palm angle, scale angle between the two groups were not significantly difference （P〉0.05）.Batra anatomy reset score： external fixation group was （91.2±11.6） points,the function score was （95.2±13.2） points; For internal fixation group,Batra anatomy reset score was （94.4±12.8）,the function score was （96.2±9.8） points. No significant differences between the two groups （P〉0.05） was found. Conclusion The external fixator and steel plate internal fixation in the treatment of unstable distal radius fracture had equal curative effect.
出处
《当代医学》
2013年第13期101-103,共3页
Contemporary Medicine
关键词
内固定
桡骨远端
不稳定骨折
Internal fixation
Distal radius
Unstable fracture
