Abstract：Objective To explore the clinical curative effect of locking plate in the treatment of distal radius fractures. Methods 60 cases of patients with distal radius fracture treated in our hospital from January 2012 to July 2016 were retrospectively analyzed and divided into conservative treatment groups and surgical treatment group according to the different treatment methods,each group of 30 cases.Patients in the conservative treatment group were treated by manual reduction and splint or plaster external fixation,while patients in the surgical treatment group were treated by open reduction and internal fixation,excellent and good rate of Cooney score and the extent of radius height loss were compared between two groups.Results Excellent and good rate of Cooney score in the surgical treatment group 6 months after treatment was 93.3%,which was far more than 70.0%in the conservative treatment group,and the difference was sta tistically significant(P＜0.01),especially in the BC type fracture with articular surface,excellent and good rate in the conservative treatment group was 33.3%,with 81.8%in the surgical treatment group,and the difference was statistically significant(P＜0.05).In the aspect of radius height loss,radius height loss in the surgical treatment group after surgery were better than those in the conservative treatment group,and radius height loss in the surgical treatment group six months after surgery was only(0.10±0.05)cm,while that in the conservative treatment group was as high as(0.65±0.23)cm, which exceeded over acceptable standard(radius height loss＜0.5 cm);the difference of radius height loss the sixth week and the sixth month after treatment between two groups was statistically significant(P＜0.05).Conclusion Locking plate in the treatment of distal radius fractures has good results,especially for patients with intra-articular fractures,which is worthy of clinical use of primary hospital.
李青. 锁定钢板治疗桡骨远端骨折效果观察[J]. 中国当代医药, 2017, 24(4): 95-98.
LI Qing. Efficacy of locking plate in the treatment of distal radius fractures. 中国当代医药, 2017, 24(4): 95-98.
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