摘要
目的探讨桡骨远端接骨板与外固定架治疗桡骨远端C型骨折的临床疗效。方法采用回顾性分析自2011年8月~2014年7月分别采用桡骨远端接骨板内固定与外固定架治疗桡骨远端C型骨折120例。结果对患者进行10~14个月的随访,依据改良Green和O’Brien临床评分,发现在C1型骨折中两组患者在疼痛、功能、活动范围和握力方面差异无统计学意义(P>0.05);在C2型骨折中,两组患者在握力、疼痛方面差异无统计学意义(P>0.05),但是在活动范围和功能方面观察组明显高于对照组,差异有统计学意义(P<0.05);在C3型骨折中,两组患者在疼痛方面差异无统计学意义(P>0.05),但是观察组患者活动范围、握力及功能明显低于对照组,差异有统计学意义(P<0.05)。结论外固定架与桡骨远端接骨板治疗桡骨远端C型骨折均具有较好的治疗效果,但是对于C2骨折类型选用桡骨远端接骨板治疗术后在关节活动范围和功能恢复方面效果更佳,而对于C3骨折类型,采用外固定架治疗在关节活动范围、握力及功能方面效果更好。
Objective To investigate the clinical effect of external fixator and distal radius plate ＇for the treatment of type C fracture of the distal radius. Methods A retrospective approach was adopted to analyze the respectively selected 120 cases clinical data of C-type distal radial fractures in patients cured through the plate of distal radius internal fix- ation and external fixation from August 2011 to July 2014. Results After^the patients in followed up for 10-14 months, according to the modified Green and O＇Brien clinical score, there was no statistical significance in C1 type fracture in both groups （P〉0.05） in the differences of pain,function,range of motion and grip strength; both groups with C2 type fracture had no statistical significance（P〉0.05） in the differences of grip strength and pain,while the observation group was obviously higher than the control group in terms of range of motion and function,in which there was statistical sig nificance（P〈O.05） ; both groups with C3-type fracture had no statistical significance in the difference（P〉0.05） of pain, but the observation group was apparently lower than the control group in aspects of range of motion,grip strength and function,with statistical significance （P〈0.05）. Conclusion The external fixation of the distal radius plate with treatment C distal radios fractures have a preferable therapeutic effect.However,for C2-type fracture the effects of this treatment method are better in the range of motion of jont and the recovery of funtion. As for the C3-type fracture, the better effects lie in range of motion, grip strength and function.
出处
《中国现代医生》
2016年第5期70-72,75,共4页
China Modern Doctor
