动力性外固定支架和小夹板外固定治疗桡骨远端不稳定性骨折疗效比较  

A COMPARISON OF DYNAMIC EXTERNAL FIXER-BRACKET AND SPLINTS EXTERNAL FIXATION FOR TREATING DISTAL RADIAL UNSTABLE FRCTURE

作　　者：蔡桦[1] 卢耀明[1] 李钊[1] 魏合伟[1] 乔荣勤[1] 张文财[1] 张志海[1] 颜祖侠[1] 

机构地区：[1]广州中医药大学附属骨伤科医院,510240

出　　处：《中医正骨》2004年第12期6-8,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：为比较动力性外固定支架和小夹板外固定治疗桡骨远端不稳定性骨折的疗效 ,将 12 9例桡骨远端不稳定性骨折患者随机分为外支架固定组 (DEF组 )和夹板固定组 (SEF组 ) ;骨折手法复位后分别采用动力性外固定支架固定和用小夹板外固定治疗 ;经平均 13.7个月的随访 ,对两组进行复位评分和功能评分 ,并对得分结果采用卡方检验分析。结果外支架固定组复位得分、功能得分均高于夹板固定组 ,其中复位评分DEF组优良率为 82 .3% ,SEF组为 4 3.3% ,两组比较有显著性差异 (P <0 .0 5 ) ;功能评分DEF组优良率为 88.7% ,SEF组为 5 2 .3% ,两组比较有显著性差异 (P <0 .0 5 )。认为动力性外固定支架固定治疗桡骨远端不稳定性骨折在维持复位及功能恢复方面均优于小夹板外固定 ,应为首选。The objective of the paper is to compare the therapeutic effects of dynamic external fixer-bracket (DEF) and splints external fixation (SEF) on unstable distal radial fracture (UDRF). One hundred and twenty-nine cases of UDRF were randomly divided into two groups, which were treated after the manipulative reduction by DEF and by SEF, respectively; the reductions and functions of the two groups were scored through a follow-up of mean 13.7 months and the scores were analyzed by χ2 test. The results showed that both reduction and function scores of DEF group were obviously higher than those of SEF group: the reduction scores—82.3 % versus 43.3; the function scores—88.7 % versus 52.3 % with a significant difference (P < 0.05), suggesting that DEF has an advantage over SEF in maintaining the reduction and function recovery and should be first selected.

关 键 词：桡骨远端不稳定性骨折/治疗 骨折固定术 动力性外固定支架 小夹板 对比研究 

分 类 号：R687.3[医药卫生—骨科学]