摘要
目的对切开复位钢板内固定和闭合复位外固定架固定治疗不稳定型桡骨远端骨折的治疗效果进行分析。方法 58例桡骨远端骨折患者,随机分为对照组和实验组,每组29例。对照组患者采用闭合复位外固定架固定进行治疗,实验组患者采用切开复位内固定架固定进行治疗。治疗结束后,对两组患者的治疗效果进行分析。结果实验组患者掌倾角为(10.20±4.70)°,尺偏角为(21.50±4.90)°,桡骨茎突和尺骨茎突的距离为(1.39±0.30)cm。对照组患者掌倾角为(8.09±2.21)°,尺偏角为(12.11±3.80)°,桡骨茎突和尺骨茎突的距离为(0.92±0.29)cm。实验组患者的治疗参数明显高于对照组,差异具有统计学意义(P<0.05)。实验组患者总并发症发生率为20.7%,对照组患者为44.8%,实验组患者总并发症发生率低于对照组,差异具有统计学意义(P<0.05)。实验组患者治疗优良率为75.9%,明显高于对照组的48.3%,差异具有统计学意义(P<0.05)。结论利用切开复位内固定治疗的方式治疗桡骨远端骨折,效果比闭合复位外固定治疗的效果更佳,值得临床推广和使用。
Objective To analyze curative effects by open reduction plate internal fixation and closed reduction external fixator in the treatment of unstable distal radius fracture. Methods A total of 58 patients with distal radius fracture were randomly divided into control group and experimental group, with 29 cases in each group. The control group received closed reduction external fixator for treatment, and the experimental group received open reduction plate internal fixator for treatment. Curative effects were analyzed in both groups after treatment. Results The experimental group had volar tilting angle as（10.20±4.70）°, ulnar inclination as（21.50±4.90）°, and distance between radial styloid process and ulnar styloid process as（1.39±0.30） cm. The control group had volar tilting angle as（8.09±2.21）°, ulnar inclination as（12.11±3.80）°, and distance between radial styloid process and ulnar styloid process as（0.92±0.29） cm. The experimental group had obviously higher treatment parameters than the control group, and the difference had statistical significance（P〈0.05）. The experimental group had total incidence of complications as 20.7%, which was 44.8% in the control group. The experimental group had lower total incidence of complications than the control group, and the difference had statistical significance（P〈0.05）. The experimental group had obviously higher good rate in treatment as 75.9% than 48.3% in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Implement of open reduction plate internal fixation provides remarkably better effect in treating distal radius fracture than closed reduction external fixation. This method is worth clinical promotion and application.
作者
吕兴元
LYU Xing-yuan(Guangdong Zhongshan City Shaxi Longdu Hospital, Zhongshan 528471, China)
出处
《中国实用医药》
2017年第3期58-60,共3页
China Practical Medicine
关键词
桡骨远端骨折
切开复位钢板
闭合复位
Distal radius fracture
Open reduction plate
Closed reduction
