AO“分水岭”万向锁定加压钢板在桡骨极远端骨折治疗中的应用

发布时间：2018-09-10 14:35

【摘要】：目的比较AO"分水岭"万向锁定加压钢板内固定与外支架结合克氏针外固定治疗桡骨极远端骨折的临床效果。方法回顾分析2016年1月—11月,采取AO"分水岭"万向锁定加压钢板内固定治疗的9例桡骨极远端骨折患者临床资料(内固定组),并与采用外支架结合克氏针外固定治疗的20例患者(外固定组)进行疗效比较。两组患者年龄、性别、致伤原因、骨折分型、受伤至手术时间等一般资料比较差异均无统计学意义(P0.05),具有可比性。结果两组患者均获随访,随访时间5~15个月,平均10.7个月。所有患者术后切口均Ⅰ期愈合,无感染、血管神经损伤、内固定物(内固定组)移位失败等并发症发生。两组骨折愈合时间比较差异无统计学意义(t=0.891,P=0.391);但内固定组住院费用显著低于外固定组,末次随访时腕关节Mayo评分及上肢功能调查量表(DASH)评分显著优于外固定组,比较差异均有统计学意义(P0.05)。结论与外支架结合克氏针外固定相比,AO"分水岭"万向锁定加压钢板内固定治疗桡骨极远端骨折具有内固定牢靠、便于患者早期功能锻炼、术后腕关节功能恢复良好等优点。
[Abstract]:Objective to compare the clinical effect of AO "watershed" universal locking compression plate internal fixation and external stent combined with Kirschner wire external fixation in the treatment of distal radius fractures. Methods from January to November, 2016, The clinical data of 9 patients with distal radial fractures treated with AO "watershed" universal locking compression plate were compared with 20 patients treated with external stent and Kirschner needle external fixation (external fixation group). There was no significant difference in age, sex, cause of injury, fracture classification, injury to operation time between the two groups (P0.05). Results the patients in both groups were followed up for 5 ~ 15 months (mean 10.7 months). All the patients had the complications of first stage healing, no infection, injury of blood vessel and nerve, failure of internal fixation (internal fixation group) and so on. There was no significant difference in fracture healing time between the two groups (t = 0.891P 0.391), but the cost of hospitalization in the internal fixation group was significantly lower than that in the external fixation group, and the Mayo score of wrist joint and the (DASH) score of the upper limb function survey scale at the last follow-up were significantly better than those in the external fixation group. The difference was statistically significant (P0.05). Conclusion compared with external bracket and Kirschner needle external fixation, internal fixation with AO "watershed" universal locking compression plate has the advantages of reliable internal fixation, convenient early functional exercise and good recovery of wrist joint function after operation.
【作者单位】：苏州大学附属无锡市骨科医院骨科;
【分类号】：R687.3

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