外固定架和切开复位钢板内固定治疗老年桡骨远端AO-C型骨折的疗效

发布时间：2019-01-04 16:18

【摘要】：目的探讨外固定架和锁定钢板两种方式治疗老年桡骨远端AO-C型骨折的疗效。方法回顾性分析2013年1月至2015年4月新鲜闭合性桡骨远端AO-C型骨折60例,其中行外固定支架固定术28例(外固定架组),行切开复位钢板内固定术32例(钢板内固定组)。对比两组一般临床资料、腕关节的活动范围、腕关节功能Mc Bride评分及术后并发症,评价两组的治疗效果。结果 60例均获有效随访,外固定架组术中出血量、手术时间、住院时间和骨折愈合时间均优于钢板内固定组(P0.05)。外固定架组腕关节的活动范围中掌屈、旋后优于钢板内固定组(P0.05);钢板内固定组背伸优于外固定架组(P0.05)。腕关节功能Mc Bride评分方面,两组优良率、并发症比较差异无统计学意义(P0.05)。结论外固定架治疗AO-C型桡骨远端骨折具有操作简单、创伤较小等优势,而外固定架和锁定钢板二者治疗效果均较为满意。
[Abstract]:Objective to evaluate the efficacy of external fixator and locking plate in the treatment of AO-C type fractures of distal radius in elderly patients. Methods from January 2013 to April 2015, 60 cases of fresh closed distal radius AO-C fractures were retrospectively analyzed, including 28 cases of external fixation (external fixator group) and 32 cases of open reduction and plate fixation (plate internal fixation group). The clinical data of the two groups, the range of wrist joint activity, the Mc Bride score of wrist function and postoperative complications were compared to evaluate the therapeutic effect of the two groups. Results 60 cases were followed up effectively. The amount of intraoperative bleeding, operation time, hospital stay and fracture healing time in external fixation group were better than those in plate internal fixation group (P0.05). The range of wrist movement in the external fixation group was superior to that in the plate internal fixation group (P0.05), and that in the plate internal fixation group was better than that in the external fixator group (P0.05). Wrist function Mc Bride score, the two groups of excellent and good rate, complications there was no significant difference (P0.05). Conclusion external fixator has the advantages of simple operation and less trauma in the treatment of distal radius fracture of AO-C type. Both external fixator and locking plate are satisfactory in the treatment of distal radius fracture.
【作者单位】：新疆维吾尔自治区中医医院骨一科;
【分类号】：R687.32

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