摘要
目的:探讨使用掌侧钢板内固定术治疗不稳定性背侧移位桡骨远端骨折的临床效果。方法:将2015年1月至2017年12月期间苏州市中西医结合医院收治的60例不稳定性背侧移位桡骨远端骨折患者作为研究对象,将其随机分为掌侧组和背侧组。为掌侧组患者使用掌侧钢板内固定术进行治疗。为背侧组患者使用背侧钢板内固定术进行治疗。然后,比较两组患者术前、术后1周及术后6月掌侧倾斜度、尺侧偏离度及桡骨茎突高度,其术后腕关节功能的优良率及其术后并发症的总发生率。结果:治疗后,与术前相比,术后1周、术后6月两组患者掌侧倾斜度、尺侧偏离度及桡骨茎突高度均明显增加,P <0.05。与背侧组患者相比,掌侧组患者术后并发症的总发生率更低,P <0.05。结论:使用掌侧钢板内固定术治疗不稳定性背侧移位桡骨远端骨折的效果显著,可有效地提高其治疗的效果,降低其术后并发症的总发生率。
objective: to investigate the clinical effect of palmar plate internal fixation in the treatment of unstable dorsal displaced distal radius fractures. Methods: from January 2015 to December 2017, 60 cases of unstable dorsal displaced distal radial fractures admitted and treated by suzhou hospital of integrated traditional Chinese and western medicine were randomly divided into the palmar group and the dorsal group. Patients in the palmar group were treated with palmar plate fixation. Patients in the dorsal group were treated with dorsal plate fixation. Then, the preoperative, postoperative 1 week and 6 months after the operation of the two groups of patients with palmar inclination, ulnar deviation and radial styloid height, the excellent and good rate of postoperative wrist joint function and the total inc idence of postoperative complications were compared. Results: after treatment, palmar inclination, ulnar deviation and radial styloid process height were significantly increased in both groups 1 week and 6 months after surgery compared with that before surgery, P < 0.05. Compared with the dorsal group, the total incidence of postoperative complications was lower in the volar group (P < 0.05). Conclusion: the treatment of unstable dorsal transposed distal radial fractures with metacarpal plate internal fixation is effective, which can effectively improve the treatment effect and reduce the overall incidence of postoperative complications.
作者
陶贤
TaoXian(department of orthopedics,suzhou hospital of integrated traditional Chinese and western medicine,suzhou 215101)
