解剖钢板与锁定钢板治疗掌侧Barton骨折:掌倾角和尺偏角改变的1年随访  

Comparison of anatomic plate and locking plates for the treatment of volar Barton’s fractures:One-year follow-up of the changes in volar tilt angle and ulnar inclination angle

作　　者：朱晓宇[1] 陈康武[1] 钱忠来[1] 王根林[1] 毛海青[1] 杨惠林[1] 

机构地区：[1]苏州大学附属第一医院骨科,江苏省苏州市215006

出　　处：《中国组织工程研究与临床康复》2011年第52期9877-9880,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景：掌侧Barton骨折极不稳定,治疗难度较大,目前还没有统一的治疗方法。目的：对比观察解剖钢板和锁定钢板治疗掌侧Barton骨折的临床疗效。方法：回顾性分析2006-01/2010-12采用解剖钢板（n=12）或锁定钢板（n=14）治疗的26例掌侧Barton骨折患者的临床资料,比较两组骨折愈合及腕关节功能恢复情况。结果与结论：纳入的26例患者均获得随访,平均随访27个月（6~58个月）。所有患者均骨性愈合,解剖钢板组平均骨折愈合时间为12.83周,锁定钢板组平均骨折愈合时间为11.74周。根据改良GartlandandWerley评分,锁定钢板组优良率为93%,明显高于解剖钢板组的75%（P〈0.05）。说明锁定钢板与解剖钢板治疗掌侧Barton骨折均可达到较好的骨折愈合效果,锁定钢板对于Barton骨折功能恢复更有优势。BACKGROUND： Volar Barton’s fractures are extremely unstable, the treatment remains challenging. Currently, there is no uniform method to treat such fractures. OBJECTIVE： To compare the therapeutic effects of anatomic plate and locking plate for the treatment of volar Barton＇s fractures. METHODS： The clinical data of 26 patients who were volar Barton’s fractures with fixation by anatomic plates （n=12） and locking plates （n=14） between January 2006 and December 2010 were retrospectively analyzed, and the union rates and function recovery were compared. RESULTS AND CONCLUSION： The mean follow-up period was 27 months （6-58 months）. Bone healing was satisfactory in all cases. The mean union time of anatomic plates group was 12.83 weeks while the mean union time of the locking plates group was 11.74 weeks. Evaluated by improved Gartland and Werler method, the excellent rate in the anatomic plates group （75%） was higher than that in the locking plates group （92.8%） （P 0.05）. In conclusion, both the anatomic plate and locking plates got a satisfactory therapeutic outcome for fracture healing of volar Barton’s fractures, but locking plates may provide better wrist function recovery.

关 键 词：锁定钢板 解剖钢板 BARTON骨折 桡骨远端 疗效 比较 

分 类 号：R318[医药卫生—生物医学工程]