|
|
|
| Efficacy of locking plate in the treatment of distal radius fractures |
| LI Qing |
| Department of Orthopaedics,Traditional Chinese Medicine Hospital of Lechang City in Guangdong Province,Lechang 512200,China |
|
|
|
|
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.
|
|
|
|
|
|
| [1] |
王晶石.桡骨远端骨折非手术治疗[J].当代医学，2010，16（24）：76-77.
|
| [2] |
Hanel DP，Jones MD，Trumble TE.Wrist fracture[J].OrthopClin North Am，2002，33（1）：35-37.
|
| [3] |
Catalano LW，Cole RJ，Gelberman RH，et al.Displaced intra-articular fractures of the distal aspect of the radius. Long-term results in young adults after open reduction and internal fixation[J].J Bone Joint Surg Am，1997，79（9）：1290-1302.
|
| [4] |
Marsh JL，Buckwalter J，Gelberman R，et al.Articular fractures：doesan anatomic reduction really change the result?[J]. J Bone Joint Surg Am，2002，84（7）：1259-1271.
|
| [5] |
王亦璁.骨与关节损伤[M].北京：人民卫生出版社，2007：912-917.
|
| [6] |
蒋协远，王大为.骨科临床疗效评价标准[M].上海：人民卫生出版社，2005：34-35.
|
| [7] |
康志刚，徐彬.老年患者桡骨远端骨折手术与非手术治疗疗效比较[J].中国实用医刊，2016，43（2）：38-39.
|
| [8] |
陈南燕.桡骨远端骨折非手术治疗失败22例分析与心理护理[J].中国误诊学杂志，2011，23（2）：2113-2115.
|
| [9] |
裘晓冬，王人彦，陆洲，等.桡骨远端骨折手术与非手术治疗的临床疗效比较[J].中国现代医生，2013，51（18）：42-46.
|
| [10] |
Batra S，Gupta A.The effect of fracture-related factors on the func tion outcome at l year in distal radius fractures[J]. Injury，2002，33（6）：499-502.
|
| [12] |
胡益文，易松敏，吴中和，等.桡骨远端骨折畸形愈合的原因及对腕关节功能的影响[J].中国骨与关节损伤杂志，2014，29（3）：300-301.
|
| [13] |
黄海晶，温建民.钢板内固定与小夹板治疗桡骨远端关节内骨折的效果比较[J].中国组织工程研究，2014，18（4）：631-636.
|
| [14] |
罗景胜.锁定解剖钢板内固定治疗陈旧性桡骨远端骨折的临床观察[J].现代医院，2014，14（9）：37-38.
|
| [15] |
张兴平.桡骨远端骨折治疗方法的选择与思考[J].中国骨伤，2011，24（11）：887-889
|
| [11] |
Schneiders W，Biewener A，Rammelt S，et al.Distal radius fracture.Correlation between radiological and functional results[J].Unfallchirurg，2006，109（10）：837-844.
|
| [16] |
王飞，徐大伟，王林.桡骨远端关节内简单骨折非手术与切开复位内固定治疗的比较[J].中国骨与关节损伤杂志，2015，30（5）：490-493.
|
| [17] |
郭伟全，曾志豪，刘文锦.外固定架与掌侧锁定钢板治疗C型桡骨远端骨折的疗效比较[J].现代医院，2014，14（4）：57-60.
|
|
|
|
