不同固定体位治疗Colle's骨折合并下尺桡关节损伤的临床研究  

Clinic research on the effect of external fixation in treating Colle's fracture with distal radioulnar joint injury in different position

作　　者：钱卫庆[1,2] 王宸[3] 刘畅畅[1,2] 余加生 尹宏[1,2] 

机构地区：[1]南京中医药大学第三附属医院 [2]南京市中医院骨伤科,江苏南京210001 [3]东南大学附属中大医院骨科,江苏南京210009 [4]南京中医药大学,江苏南京210029

出　　处：《现代医学》2014年第12期1439-1442,共4页Modern Medical Journal

摘　　要：目的:探讨外固定支架在治疗合并下尺桡关节损伤的Colle's骨折中理想的固定体位。方法:将68例合并有下尺桡关节损伤的Colle's骨折患者按照随机原则分为A、B两组:A组(n=34)采用轻度背伸尺偏、前臂旋后位固定;B组(n=34)采用掌屈尺偏、前臂旋前位固定。对两组患者治疗前和治疗6周后影像学、临床疗效及并发症发生率进行比较。结果:两组术后腕关节功能改善程度A组优于B组,并发症的发生率A组低于B组,差异均有统计学意义(P<0.05)。结论:对伴有下尺桡关节损伤Colle's骨折,外固定支架采用轻度背伸尺偏、前臂旋后位固定有利于下尺桡关节复位、固定及腕关节术后功能恢复,可减少术后并发症。Objective： To comparing the effect of external fixation in different forearm position when treating Colle＇s fracture with distal radioulnar joint injury, and to find a reasonable fixation method. Method： 68 patients with Colle＇s fracture and distal radioulnar joint injury were randomly divided into two groups. Patients in group A （n = 34） were fixed with dorsal extension and ulnar deviation and forearm supination. Patients in group B （n = 34） were fixed with palmar flexion and ulnar deviation and forearm pronation. The occurrence of imaging, clinical efficacy and complications were compared between the two groups before and 6 weeks after treatment. Result： Improvement of wrist function in A group was better than group B and incidence of postoperative complications in A group was lower than group B （ all P 〈 0. 05）. Conclusion： The fixation with dorsal extension and ulnar deviation and forearm suoination in treatment of Colle＇s fracture with distal radioulnar joint iniury is helpful for wrist function recovery and reduce the incidence of postoperative complication.

关 键 词：Colle's骨折 下尺桡关节损伤 外固定支架 

分 类 号：R683.41[医药卫生—骨科学]