|
|
|
| Application of open reduction and p late internal fixation in patients with unstable fracture of distal radius |
| LAN Fang-ling |
| Department of Orthopaedics,Yangchun People′s Hospital in Guangdong Province,Yangchun 529600,China |
|
|
|
|
Abstract Objective To explore the application effect of open reduction and plate internal fixation in patients with unstable fractures of the distal radius.Methods Forty-five patients with unstable distal radius fractures treated in our hospital from June 2014 to June 2018 were selected as the subjects.They were divided into internal fixation group(n=25)and external fixation group(n=20)by random number table method.The internal fixation group was treated with open reduction and plate internal fixation,and the external fixation group was treated with external fixator treatment.The palm tilt,ulnar deflection angle,osseous healing time,wrist mobility,Robbins score of wrist function,clinical efficacy between the two groups were compared.Results The palm tilt and ulnar deflection angle of the patients in the internal fixation group were greater than those in the external fixation group,and the differences were statistically significant(P＜0.05).The osseous healing time in the internal fixation group was shorter than that in the external fixation group,and the difference was statistically significant(P＜0.05).The palmar flexion,dorsiflexion,pronation,supination of the patients in the internal fixation group were greater than those in the external fixation group,and the differences were statistically significant(P＜0.05).There was no significant difference between the two groups in radial and ulnar deflection angle(P＞0.05).The Robbins scores ofwrist function in the two groups after treatment were higher than those before treatment(P＜0.05).The Robbins score ofwrist function in the internal fixation group was higher than that in the external fixation group,the difference was statistically significant(P＜0.05).The total effective rate of treatment in the internal fixation group was 96.0%,which was higher than that in the external fixation group(70.0%),the difference was statistically significant(P＜0.05).Conclusion The application effect of open reduction and plate internal fixation in patients with unstable fractures of the distal radius is better than external fixation,and it can effectively expand the patients′palm tilt,ulnar deflection angle,palmar flexion,dorsiflexion,pronation and supination,shorten the osseous healing time,and improve the wrist function of patients,which is worth promoting.
|
|
|
|
|
|
| [1] |
田鹏，于洋，李天旺，等.切开复位钢板内固定与外固定器治疗桡骨远端不稳定骨折的临床疗效[J].现代生物医学进展，2018，18（6）：1172-1175.
|
| [2] |
杨博宇，杜谦，蔡加兴，等.手法复位石膏固定与切开复位锁定钢板内固定治疗青壮年不稳定桡骨远端骨折的疗效比较[J].中国骨与关节损伤杂志，2017，32（9）：987-989.
|
| [3] |
钟泽莅，吴超，林旭，等.微创和传统切开复位内固定治疗桡骨远端不稳定骨折的疗效比较[J].中国修复重建外科杂志，2018，32（3）：322-328.
|
| [4] |
赵亮，高化，白晓冬，等.桡骨远端不稳定骨折内固定术后多种主客观评分系统与患者主观满意度的相关性研究[J].临床和实验医学杂志，2017，16（6）：577-580.
|
| [5] |
张辉，袁治国，邵建军，等.两种固定方法治疗老年不稳定性桡骨远端Colles骨折的疗效分析与评价[J].中国中医骨伤科杂志，2016，24（10）：20-23.
|
| [6] |
王明辉，王彬，王秀会.掌侧入路切开复位锁定钢板治疗高龄桡骨远端不稳定骨折[J].生物骨科材料与临床研究，2016，13（5）：33-35.
|
| [7] |
李洪彬.外固定支架结合小夹板外固定术与切开复位内固定术治疗老年不稳定性桡骨远端骨折的疗效[J].中国老年学杂志，2017，37（3）：668-670.
|
| [8] |
张建军，李金光，何世凯.闭合复位外固定架固定及切开复位钢板螺丝钉内固定治疗桡骨远端不稳定骨折优劣势比较[J].海南医学，2016，27（17）：2790-2794.
|
| [9] |
王炳，樊建，袁锋.掌侧入路保留旋前方肌治疗桡骨远端不稳定骨折的临床研究[J].同济大学学报（医学版），2015，36（3）：87-91.
|
| [10] |
李绪松，郑臣校，苏永康.切开复位掌背侧双钢板内固定治疗不稳定性桡骨远端骨折[J].新乡医学院学报，2011，28（5）：630-631.
|
| [11] |
张斌，许立新，刘岗，等.切开复位钢板内固定治疗桡骨远端不稳定骨折26例分析[J].中国煤炭工业医学杂志，2011，14（8）：1114-1115.
|
| [12] |
王湘伟，陈文雄，谢广中.锁定加压钢板和非锁定加压钢板治疗桡骨远端不稳定性骨折的作用比较[J].现代诊断与治疗，2014，25（23）：5431-5432.
|
| [13] |
伍绍成，阮才政，罗朝东，等.锁定钢板治疗桡骨远端不稳定骨折[J].临床骨科杂志，2013，16（4）：417-418.
|
| [14] |
李生茂，马长福，江明，等.老年桡骨远端不稳定性骨折的治疗体会[J].武警后勤学院学报（医学版），2013，22（5）：436-438.
|
| [15] |
程昊.不同固定方式治疗桡骨远端不稳定骨折的比较[J].中国医师杂志，2013，15（5）：657-659.
|
|
|
|
