摘要
目的:比较手法复位石膏外固定和切开复位钢板内固定治疗骨质疏松性桡骨远端骨折的效果。方法:选取2013年8月至2017年1月我院收治并确诊为由骨质疏松导致的桡骨远端骨折患者60例,随机分为对照组(手法复位石膏外固定)30例和研究组(切开复位钢板内固定)30例。比较2组患者骨折愈合时间、掌倾角和尺偏角;比较2组患者骨折愈合时及骨折愈合后6个月的前臂旋前及旋后角度,并进行Robbins腕关节评分。结果:研究组患者的愈合时间显著低于对照组(P<0.05),掌倾角和尺偏角显著大于对照组(P<0.05);骨折愈合时,研究组的前臂旋前、旋后角度和Robbins评分均高于对照组(P<0.05);骨折愈合后6个月,2组的前臂旋前、旋后角度和Robbins评分差异无统计学意义(P>0.05)。结论:切开复位钢板内固定治疗骨质疏松性桡骨远端骨折的治疗效果优于手法复位石膏外固定,值得在临床上推广。
Objective： To compare the effect of manual reduction and plaster external fixation and open reduction and plate internal fixation in the treatment of osteoporotic distal radial fractures. Method：A total of 60 patients with osteoporotic distal radial fractures treated in our hospital from Aug 2013 to Jan 2017 were selected as objects,and were randomly divided into the control group and the study group,each with 30 cases. The study group was treated with open reduction and plate internal fixation,while the control group was treated with manual reduction and plaster external fixation. The fracture healing time,volar tilt angles,radial inclination angles,forearm pronation and supination angles,and Robbins wrist joint score were compared between the two groups. Results：The fracture healing time of the study group was significantly lower than that of the control group,and the volar tilt angles and radial inclination angles were greater than those in the control group（P〈0.05）. When the fracture was healed,the forearm pronation and supination angles and Robbins scores in the study group were higher than those in the control group（P〈0.05）. While there was no significant difference in the forearm pronation and supination angles and Robbins scores between the two groups at 6 months after recovery（P〉0.05）. Conclusion：The open reduction and plate internal fixation in the treatment of the osteoporotic distal radial fractures is superior to the plaster external fixation,and it is worthy of clinical promotion.
作者
徐响林
XU Xianglin(Chashan Hospital of Dongguan,Dongguan 523382,Chin)
出处
《沈阳医学院学报》
2018年第3期201-203,共3页
Journal of Shenyang Medical College
关键词
骨质疏松性桡骨远端骨折
手法复位石膏外固定
切开复位钢板内固定
osteoporotic distal radial fractures
manual reduction and plaster external fixation
open reduction and plate internal fixation
