掌侧入路锁定钢板治疗桡骨远端不稳定骨折疗效分析

发布时间：2018-10-22 14:17

【摘要】：目的探讨掌侧入路锁定钢板治疗桡骨远端不稳定骨折的疗效。方法选择2012年1月-2015年1月该院收治的93例桡骨远端不稳定骨折患者,随机分为对照组47例和观察组46例。对照组采取外固定支架手术方法,观察组采取掌侧入路锁定钢板内固定治疗,根据患者一般情况、术后的影像学测量参数和Gartland-Werley腕关节评分评估手术效果。结果两组患者的尺偏角、掌倾角、桡骨短缩和桡腕关节面移位差异均无统计学意义(P0.05),根据Gartland-Werley评分标准,对照组优良率为70.2%(33/47),观察组优良率为89.1%(41/46),经χ~2检验,差异有统计学意义(χ~2=5.126,P=0.016),优良率观察组对照组(P0.05)。结论经掌侧入路锁定钢板内固定治疗桡骨远端不稳定骨折,患者的术后功能恢复较好,值得临床推广与应用。
[Abstract]:Objective to evaluate the efficacy of locking plate through palmar approach in the treatment of unstable distal radius fractures. Methods from January 2012 to January 2015, 93 patients with unstable distal radius fractures were randomly divided into control group (n = 47) and observation group (n = 46). The patients in the control group were treated with external fixation stents, and the patients in the observation group were treated with locking plate internal fixation via palmar approach. According to the general situation of the patients, the postoperative imaging parameters and Gartland-Werley wrist score were used to evaluate the effect of the operation. Results there was no significant difference in ulnar deviation angle, palmar inclination angle, radial shortening and radiocarpal joint displacement between the two groups (P0.05). According to the Gartland-Werley score, the excellent and good rate of the control group was 70.2% (33 / 47), and the excellent and good rate of the observation group was 89.1% (41 / 46), which was tested by 蠂 ~ 2 test. The difference was statistically significant (蠂 ~ 2, 5.126, P < 0.05), and the excellent and good rate was significant in the control group (P0.05). Conclusion the treatment of unstable distal radius fracture with locking plate through palmar approach is worth popularizing and applying.
【作者单位】：江苏省苏州市吴江第一人民医院;
【基金】：江苏省自然科学基金(No:BK20105)
【分类号】：R687.3

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