摘要
目的：探讨外固定支架结合有限内固定治疗老年桡骨远端骨折的近期疗效。方法选取2012年8月至2014年8月在郑州大学附属郑州市中心医院接受治疗的66例老年桡骨远端骨折患者为研究对象，按照随机数表法分为对照组与观察组，每组33例，对照组行手法复位及石膏外固定治疗，观察组行关节外固定支架结合有限内固定治疗，比较两组治疗效果及手术前后影像学参数。结果观察组骨折恢复总有效率为90.9％，显著高于对照组的81.8％，差异有统计学意义（ P＜0.05）。术前两组尺偏角、掌倾角、桡骨高度、绕骨关节面台阶比较差异未见统计学意义（P＜0.05），术后比较差异有统计学意义（P＜0.05）。观察组并发症发生率为27.3％，显著低于对照组的6.1％，差异有统计学意义（ P＜0.05）。结论外固定支架结合有限内固定治疗老年桡骨远端骨折的近期疗效显著，特别对能量损伤引起不稳定桡骨远端骨折有显著优势，有临床推广价值。
Objective To investigate the short-term curative effect of external fixator combined with limited inter- nal fixation on elderly patients with distal radius fractures. Methods Sixty-six elderly patients with distal radius fracture from August 2012 to August 2014 as research objects, they were randomly divided into control group and observation group, with 33 cases in each group, the control group underwent manipulative reduction and plaster external fixation treatment, the observation group underwent external fixation support frame combined with limited internal fixation, the effects of the two groups were compared and local imaging parameters before and after the surgery. Results In observation group, the total efficiency of fracture restore was 90. 9%, which was significantly higher than that in control group（ 81.8% ）, the difference was significant （P 〈 0. 05 ）. After two groups of ulnar deviation, palmar tilt, radial height, around the articular face steps, comparison had no significant difference （ P 〈 0. 05 ） , comparison of postoperative ulnar deviation, palmar tilt, radial height, around the bone articular surface level difference was significant. The incidence rate of complications in observation groups was 27. 3% , which was significantly lower than that of control group （6. 1% ） , the differences were significant （P 〈 0. 05）. Conclusions Short-term effect of external fixation combined with limited internal fixation on distal radius fractures in elderly patients is significant, especially for energy damage caused by unstable distal radius fracture has signifi- cant advantages, has clinical value.
出处
《中国实用医刊》
2016年第1期57-58,共2页
Chinese Journal of Practical Medicine
关键词
外固定支架
有限内固定
老年桡骨远端骨折
近期疗效
External fixators
Limited internal fixation
Distal radial fractures in elderly patients
Short-term cur-ative effect
