掌侧锁定钢板治疗Buttazzoni B2型桡骨远端骨折

发布时间：2019-07-11 21:00

【摘要】：[目的]探讨掌侧锁定钢板治疗Buttazzoni B2型桡骨远端骨折的疗效。[方法]采用掌侧锁定钢板内固定治疗Buttazzoni B2型桡骨远端骨折患者127例(青年组28例,中年组36例,老年组63例),随访并动态测量掌倾角、尺偏角、桡骨茎突高度、尺骨变异等影像学指标的变化,以评估骨折再移位的情况。术后12个月行腕关节功能评分(DASH评分和Gartland和Werley评分)。[结果]术后第12个月随访测量的尺偏角、掌倾角、尺骨变异和桡骨茎突高度分别为(21.20±3.50)°、(4.97±7.54)°、(0.33±1.14)mm和(12.71±3.85)mm,相较于术后24 h测量的影像学指标差异无统计学意义。桡骨茎突高度:老年组患者短缩值高于中、青年组患者(P=0.044和P=0.049)。DASH评分平均12.2分,各年龄组间差异无统计学意义,Gartland和Werley评分均达到优(74例)或良(53例)。[结论]掌侧锁定钢板可以为Buttazzoni B2型桡骨远端骨折提供良好的稳定性,并获得满意的功能预后。
[Abstract]:[objective] to investigate the efficacy of palmar locking plate in the treatment of Buttazzoni B2 distal radius fracture. [methods] 127 patients with Buttazzoni B2 distal radius fracture were treated with metacarpal locking plate internal fixation (young group 28 cases, middle age group 36 cases, elderly group 63 cases). The changes of metacarpal inclination angle, ulna deviation angle, height of styloid process of radius and variation of ulna were measured dynamically to evaluate the redisplacement of fracture. Wrist function score (DASH score and Gartland and Werley score) was performed 12 months after operation. [results] at the 12th month after operation, the ulna deviation angle, metacarpal inclination angle, ulna variation and radius styloid height were (21.20 卤3.50) 掳, (4.97 卤7.54) 掳, (0.33 卤1.14) mm and (12.71 卤3.85) mm, respectively, which were not significantly different from those measured at 24 hours after operation. The height of styloid process of radius in the elderly group was higher than that in the middle group (P 鈮，

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