摘要
目的:探讨桡骨远端骨折合并尺骨茎突骨折在实施切开复位内固定术后对尺骨茎突不做内固定处理对腕关节功能的影响。方法:对所有患者的桡骨远端骨折均进行植骨辅以钢板内固定治疗。合并有尺骨茎突骨折患者均不对其尺骨茎突骨折进行固定,也不给予外固定。对比两组术后桡骨复位愈合情况及腕关节功能。结果:两组掌倾角、尺偏角、桡骨高度及骨折愈合时间差异无统计学意义(P>0.05)。两组腕关节背伸度、掌屈度、桡偏度、尺偏度、握力、Gartland-Werley评分与DASH评分差异无统计学意义(P>0.05)。结论:桡骨远端骨折合并尺骨茎突骨折在实施切开复位内固定术后,即使不对尺骨茎突做内固定处理也不会影响远期腕关节功能。
Objective:To investigate the effect of distal radius fracture combined with ulnar styloid fracture on postoperative wrist function for patients who did not have internal fixation.Methods:All patients were treated with bone grafting and plate fixation for distal radius fractures.Patients with ulnar styloid process were not fixed on ulnar styloid process fractures,nor to external fixation.The radius reduction healing and wrist function were compared between groups.Results:There was no significant difference between groups in the tilt angle,ulnar deviation angle,radius height and fracture healing time(P>0.05).The wrist extension,palmar flexion,radial deviation,ulnar deviation,grip strength,Gartland-Werley score and DASH score were not significantly different between groups(P>0.05).Conclusion:After distal radius fracture combined with ulnar styloid fracture,internal fixation of the ulnar styloid process will not affect the long-term wrist function after open reduction and internal fixation.
作者
周荣博
朱玉辉
王雨露
Zhou Rongbo;Zhu Yuhui;Wang Yulu(Department of Hand and foot Surgery,the General Hospital of Jilin Chemical Group Corporation 132021)
出处
《中国社区医师》
2017年第23期75-76,共2页
Chinese Community Doctors
关键词
桡骨远端骨折
切开复位内固定
腕关节功能
Distal radius fracture
Open reduction and internal fixation
Wrist joint function
