桡骨远端解剖型支架夹板的设计及临床疗效观察  

Design and Application of Distal Radius Anatomical Shape Bracket Splints

作　　者：吴毛[1,2] 刘勇[1,2] 沈杰枫[1,2] 马勇[2] 王建伟[2] 

机构地区：[1]无锡市中医医院骨伤科,江苏214000 [2]南京中医药大学无锡骨伤科研究所,江苏214000

出　　处：《中国中西医结合杂志》2015年第5期555-558,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：江苏省中医药管理局科技项目(No.LZ11123);江苏高校优势学科建设工程资助项目(No.YS2012ZYX107)

摘　　要：目的利用计算机3D-MAX软件辅助设计桡骨远端解剖型支架夹板观察其临床疗效。方法测量健康成年志愿者前臂及腕部数据,经计算机3D-MAX软件处理,设计并制作桡骨远端解剖型支架夹板。将60例桡骨远端骨折患者,分为实验组和对照组,每组30例。手法复位后实验组使用解剖型夹板,对照组使用普通夹板固定,分别测量治疗后、治疗后1周、3周和6周时标准正侧位X片的掌倾角、尺偏角和桡骨高度,同时记录治疗过程中各组的并发症发生数。结果与对照组比较,治疗后1周实验组掌倾角、尺偏角度数较大,差异有统计学意义(P<0.05),治疗后1周、3周及6周实验组桡骨高度较高,差异有统计学意义(P<0.05)。与对照组比较,治疗过程中实验组总体并发症发生数量明显减少,差异有统计学意义(P<0.05)。结论利用3D-MAX软件辅助设计制作的桡骨远端解剖型纸质支架夹板能更好地维持复位后骨折的稳定性,临床治疗效果好,并发症少。Objective To observe the clinical effect of anatomic shape bracket splints designed by 3D-MAX software. Methods Healthy adult volunteers＇ forearms and wrist data were measured and processed by 3D-MAX software. Then we designed and made anatomic shape bracket splints. Totally 60 distal radial fracture patients were equally assigned to the test group and the control group. After manual reduction, patients in the test group used anatomic shape bracket splints, while those in the control group used common splints. The palmar dip angle, ulnar fleet angle, and radius height of standard X-ray in normal and lateral positions were measured after treatment, at 1, 3, and 6 week after treatment, re- spectively. Meanwhile, the incidence of complications was recorded during the whole treatment process. Results Compared with the control group, the palmar dip angle and ulnar fleet angle were larger in the test group after one week of treatment （P 〈0.05）. The radius height of the treatment group was higher af- ter one, three, and six weeks of treatment （P 〈0.05）. Compared with the control group, the incidence of complications was obviously less in the test group （P 〈0.05）. Conclusions Anatomic shape bracket splints designed by 3D-MAX software fit local anatomic features and need no more shaping. Its easier use with lesser complications could maintain the stability of bone fracture better.

关 键 词：桡骨远端骨折 解剖型夹板 设计 临床应用 

分 类 号：R687.3[医药卫生—骨科学]