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钢板内固定与外固定架固定治疗C型老年桡骨远端骨折的效果 被引量:47

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摘要 目的比较切开复位钢板内固定和外固定架固定治疗C型老年桡骨远端骨折的临床疗效。方法回顾性分析C型老年桡骨远端骨折患者77例,分别采用掌侧切开复位锁定钢板内固定治疗42例,外固定架固定治疗35例。根据Stewart等改良的Sarmiento评分标准及Gartland—Werley功能评分标准分别行影像学及腕关节功能评估,对结果进行统计学分析并比较两组的治疗效果。结果所有病例均在门诊获得随访,随访时间13~34个月。骨折愈合时间为12—20周。根据Stewart等改良的Sarmiento评分标准,分别比较两组患者在术后即刻、术后6周、3个月、6个月及末次随访时的影像学指标,钢板内固定组优于外固定架组,差异有统计学意义(P〈0.05)。末次随访时钢板内固定组Gartland—Werley功能评分优28例,良9例,可5例,优良率88.1%;外固定架组优19例,良11例,可5例,优良率85.7%,两组比较差异无统计学意义(P〉0.05)。钢板内固定组创伤性关节炎1例,正中神经刺激1例;外固定架组创伤性关节炎1例,钉道感染3例,螺钉松动2例。结论钢板内固定与外固定架固定治疗C型老年桡骨远端骨折均可获得满意的疗效,但与外固定架相比,钢板内固定骨折对位更好,术后复位丢失少,术后早期功能恢复良好,患者满意度高。
出处 《广东医学》 CAS 北大核心 2016年第17期2634-2636,共3页 Guangdong Medical Journal
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参考文献10

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