掌侧入路锁定钢板治疗桡骨远端不稳定骨折疗效分析

Curative effect of volar locking compression plate fixation for displaced fractures of distal radius

摘要:

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（ p>0.05），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χ2 检验，差异有统计学意义（χ2=5.126， =0.016），优良率观察组> 对照组（ p<0.05）。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:

To investigate curative effect of the volar locking compression plate fixation for treatment of displaced fractures of distal radius. Methods The 93 patients with displaced fractures of distal radius who were at our hospital from January 2012 to January 2015 were randomized to observation group (46 cases) and control group (47 cases). The patients of the observation group adopted the volar approach internal fixation with locking compression plate, and the patients of the control group adopted external fixators. The operative effect was evaluated according to the general condition, the postoperative radiographic parameters and the Gartland-Werley wrist score. The postoperative complications were compared between the two groups. Results There was no statistical difference in the radial height, radiocarpal joint surface roughness, the palmar tilt or ulnar deviation (p > 0.05). According to the Gartland-Werley standard, the excellent rate of wrist joint function of the observation group was higher than that of the control group ( p< 0.05). Conclusions The volar T-shaped plate internal fixation has an exact curative effect on distal radius fracture, and it is worthy of clinical popularization and application.