摘要
目的分析应用外固定架治疗老年人和青壮年桡骨远端骨折临床效果的差异。方法回顾分析我科2011-2013年应用外固定架治疗桡骨远端骨折的病例,根据年龄分为老年组(33例)和青壮年组(27例),分别对其术后功能、影像学结果进行随访。结果术后平均随访6.7个月,两组患者术后尺偏角、掌倾角、桡尺骨高度差、桡骨茎突高度均得到明显恢复,术后6个月老年组桡尺骨高度差与青壮年组比较,差异有统计学意义[(-0.06±2.8)mm vs.(1.2±2.3)mm,P<0.05]。两组患者术后Dienest腕关节功能评定差异无统计学意义。结论老年人桡骨远端骨折外固定架固定术后功能与青壮年无明显差异,桡骨高度虽然可以恢复正常范围,但是较青壮年存在差异。
Objective To analyze the clinical effect of external fixation for distal radius fracture in elderly or young patients. Methods From January 2011 to December 2013, 60 patients with distal radius fracture were treated with external fixation. They were divided into the elderly（n=33） or youth（n=27） group. The epidemiological data, radiological changes, fracture types, clinical outcomes, and complications were analyzed. Results Sixty patients were all followed up for 4 to 12 months, and the average follow-up time was 6.7 months. There were no differences between the two groups in the ulnar deviation, the palm dip angle, the height difference between ulna and radius, and radius styloid height. The function of wrist joint showed no difference between the two groups. Conclusion There is no difference in wrist joint function between elderly and youth group. The radius height of elderly can recover to normal range, but there are some differences for young patients.
出处
《北京医学》
CAS
2015年第11期1060-1063,共4页
Beijing Medical Journal
关键词
桡骨远端骨折
外固定架
老年
Distal radius fracture External fixation Elderly
