桡骨远端骨折合并的尺骨茎突骨折内固定与否对腕关节功能的影响

发布时间：2018-04-22 20:27

本文选题：尺骨茎突骨折 + 桡骨远端骨折　；参考：《临床医药文献电子杂志》2016年41期

【摘要】：目的确定桡骨远端骨折所合并的尺骨茎突骨折是否进行内固定治疗对于腕关节功能和尺偏疼痛发生率有无影响。方法选取2010年1月~2016年7月我院收治的桡骨远端骨折伴有尺骨茎突骨折治疗的患者42例作为研究对象,根据不同治疗方法,将其分成A组(治疗组)19例与B组(对照组)23例。A组行骨折切开复位内固定治疗,B组仅实行简单手法复位石膏托外固定治疗。观察两组患者的疗效。结果两组患者经治疗后的掌倾角、尺偏角及桡骨长度的评分比较,差异均无统计学意义(P0.05);两组尺骨茎突骨折不愈合率和尺偏疼痛发生率比较,差异有统计学意义(P0.05);两组采用Gartland-Werley腕关节评分所得的优良率比较,差异无统计学意义(P0.05)。结论桡骨远端骨折合并的尺骨茎突骨折是否行内固定治疗,对于腕关节大部分功能无明显影响,但可以明显减少腕尺偏疼痛的发生率。
[Abstract]:Objective to determine whether internal fixation for ulnar styloid process fracture associated with distal radius fracture has an effect on wrist function and ulnar deviation pain. Methods from January 2010 to July 2016, 42 patients with distal radius fracture associated with ulnar styloid process fracture were selected as study subjects. It was divided into two groups: group A (19 cases) and group B (23 cases). Group A was treated with open reduction and internal fixation of fracture. Group B was treated with simple manual reduction and plaster external fixation. To observe the curative effect of the two groups. Results there was no significant difference in the score of palmar inclination, ulnar deviation and radius length between the two groups after treatment, and there was no significant difference between the two groups in the rate of nonunion of ulnar styloid process fracture and the incidence of ulnar partial pain. The difference was statistically significant (P 0.05), and there was no significant difference between the two groups in the excellent and good rate of wrist joint score with Gartland-Werley. Conclusion the treatment of ulnar styloid process fracture with distal radius fracture has no significant effect on the majority of wrist function, but it can significantly reduce the incidence of ulnar deviation pain.
【作者单位】：烟台招远市人民医院骨科;
【分类号】：R687.3

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