摘要
目的探讨切开复位内固定和闭合复位外固定治疗桡骨远端骨折的效果。方法随机选取2015年8月~2019年8月我院桡骨远端骨折患者250例,随机分为切开复位内固定组(n=125)和闭合复位外固定组(n=125)两组,统计分析两组患者的临床疗效、桡骨长度、掌倾角、尺偏角、术后并发症发生情况。结果在腕关节功能恢复的优良率方面,切开复位内固定组为97.6%(122/125),闭合复位外固定组为32.0%(40/125),前者显著高于后者,差异有统计学意义(P<0.05)。切开复位内固定组患者的桡骨长度显著长于闭合复位外固定组,差异有统计学意义(P<0.05),掌倾角、尺偏角均显著高于闭合复位外固定组,差异有统计学意义(P<0.05)。在术后并发症发生率方面,切开复位内固定组为6.4%(8/125),闭合复位外固定组为23.2%(29/125),前者显著低于后者,差异有统计学意义(P<0.05)。结论切开复位内固定治疗桡骨远端骨折的效果较闭合复位外固定好。
Objective To investigate the effects of open reduction and internal fixation as well as closed reduction and external fixation in the treatment of distal radius fracture.Methods 250 patients with distal radius fracture inour hospital from August 2015 to August 2019 were randomly selected,and were randomly divided into two groups,namely open reduction and internal fixation group(n=125)and closed reduction and external fixation group(n=125).The clinical efficacy,radius length,volar tilting angle,ulnar deflection angle,and occurrence of postoperative complications in the two groups of patients were statistically analyzed.Results The excellent rate of wrist joint function recovery was 97.6%(122/125)in the open reduction and internal fixation group and 32.0%(40/125)in the closed reduction and external fixation group.The former was significantly higher than the latter,and the difference was statistically significant(P<0.05).The radius length of patients in the open reduction and internal fixation group was significantly longer than that in the closed reduction and external fixation group,and the difference was statistically significant(P<0.05);both volar tilting angle and ulnar deflection angle were significantly higher than those in the closed reduction and external fixation group,and the differenceswerestatistically significant(P<0.05).The incidence of postoperative complications was 6.4%(8/125)in the open reduction and internal fixation group and 23.2%(29/125)in the closed reduction and external fixation group.The former was significantly lower than the latter,and the difference was statistically significant(P<0.05).Conclusion Open reduction and internal fixation is better than closed reduction and external fixation in the treatment of distal radius fracture.
作者
林健
LIN Jian(Department of Orthopedics,Tianyang County People’s Hospital,Guangxi,Tianyang 533600,China)
出处
《中国医药科学》
2020年第8期277-279,290,共4页
China Medicine And Pharmacy
关键词
切开复位内固定
闭合复位外固定
桡骨远端骨折
腕关节功能
Open reduction and internal fixation
Closed reduction and external fixation
Distal radius fracture
Wrist joint function
