闭合复位结合锁定加压钢板治疗Barton骨折的临床分析  

Clinical analysis of closed reduction with locking compression plate to treat Barton fracture

作　　者：段钢[1] 朱自强[1] 闫长明[1] 李高玉 刘刚[1] 王斌[1] 

机构地区：[1]徐州医学院第二附属医院骨科,徐州221006

出　　处：《骨科》2014年第2期102-104,共3页ORTHOPAEDICS

摘　　要：目的探讨闭合复位结合锁定加压钢板(locking compression plate,LCP)治疗Barton骨折的临床疗效。方法回顾性分析2010年2月至2012年11月收治的71例新鲜Barton骨折患者的临床资料,按照患者治疗方法分为闭合复位结合LCP内固定组33例及常规LCP内固定组38例,应用Gartland功能评分对两组患者的临床疗效作统计分析。结果两组手术均取得成功。平均随访(9.0±2.1)个月,骨折全部愈合,两组Gartland评分差异有统计学意义(P<0.05),平均手术时间比较差异有统计学意义(P<0.05),术后愈合时间比较差异无统计学意义(P>0.05)。结论闭合复位结合LCP内固定治疗新鲜Barton骨折取得满意效果,为Barton骨折的治疗提供了一种新的选择。Objective To explore the clinical effectiveness of closed reduction with locking compression plate（LCP）to treat Barton fracture.Methods Seventy-one cases of Barton fracture were retrospectively analyzed from Feb.2010 to Nov.2012,including 33 cases treated by closed reduction with LCP and 38 cases treated with LCP alone.The clinical efficacy was analyzed by Gartland＇s criteria.Results The patients were followed up for an average time of（9.0±2.1）months after surgery.All got the bone healing.According to Gartland wrist function evaluation criteria,closed reduction with LCP in treatment of Barton fracture provided better mechanical stability than LCP alone.There was significant difference in operative time between two groups（P0.05）,but there was no significant difference in the bone healing time between two groups（P0.05）.Conclusion The treatment for Barton fracture by closed reduction with LCP obtained satisfactory orthopedic effect and curative effect.

关 键 词：骨折固定术 内 骨折 闭合性 治疗结果 

分 类 号：R687.3[医药卫生—骨科学]