摘要
研究改良的Henry入路结合LCP钢板治疗不稳定型桡骨远端骨折的临床疗效;筛选了本科从2016年-2018年收住入院的68个不稳定型桡骨远端骨折患者的病例,且均进行随访,运用随机分组把患者划分为试验组和对照组,每组例数相同,试验组运用改良的Henry入路结合LCP钢板治疗;对照组运用掌直接入路结合LCP钢板治疗,然后进行研究分析骨折暴露时间还有正中神经刺激率和Gartland-Werley评分评定临床的治疗效果;数据显示:试验组在骨折暴露时间低于对照组,且两组比较差异具有统计学意义(P<0.01);试验组正中神经刺激率低于对照组,两组比较差异具有统计学意义(P<0.01);试验组在旋前方肌修补率上明显高于对照组,且两组比较差异具有统计学意义(P<0.01);两组在Gartland-Werley评分上的统计学基本没有差异;结论:改良Henry入路结合LCP钢板治疗不稳定型桡骨远端骨折具有操作简单、旋前方肌修复率高、正中神经刺激率低的优点。
Objective To investigate the clinical effect of modified Henry approach combined with LCP plate in the treatment ofunstable distal radius fractures. Sixty- eight cases with unstable distal radius admitted to our department from January 2016 to January2018 were selected. All cases were followed up. Patients were divided into experimental group and control group by random numbermethod, with 34 cases in each group. The experimental group was treated with modified Henry approach combined with LCP plate. Thecontrol group was treated with direct palmline approach combined with LCP plate. Clinical efficacy was evaluated by observing theexposure time of fracture, median nerve stimulation rate, anterior rotatory muscle repair rate and gartland- werley score. Results Theduration of fracture exposure in the experimental group was significantly lower than that in the control group, and the difference between thetwo groups was statistically significant (P < 0.01). The median nerve stimulation rate in the experimental group was lower than that in thecontrol group, and the difference between the two groups was statistically significant(P < 0.01). The repairing rate of anterior rotator cuff inthe experimental group was significantly higher than that in the control group, and the difference between the two groups was statisticallysignificant (P < 0.01). There was no significant difference in gartland- werley score between the two groups. Conclusion The modifiedHenry approach combined with LCP plate in the treatment of unstable distal radius fractures has many advantages including simpleoperation, high repairing rate of anterior rotator cuff and low median nerve stimulation rate.
作者
庞渊
孙泉
阿伍提·艾克木
PANG Yuan;SUN Quan;A WU TI·Aikemu(Department of Orthopaedics,Traditional Chinese Medicine Hospital of Urumqi,Urumqi,Xinjiang,830000,China)
出处
《新疆医学》
2019年第7期658-661,共4页
Xinjiang Medical Journal
关键词
桡骨远端骨折
手术入路
骨折内固定
Distal radius fracture
surgical approach
internal fixation of fracture
