掌侧和背侧锁定钢板内固定治疗老年桡骨远端骨折的疗效比较  

Camparative Research of Palmar Versus Dorsal Locking Plate Osteosynthesis for Senile Distal Radius Fracture

作　　者：王吉人[1] 张雪艳[1] 李应男[1] 董宁[1] 

机构地区：[1]吉林省长春市一汽总医院,130011

出　　处：《中国继续医学教育》2015年第28期98-99,共2页China Continuing Medical Education

摘　　要：目的评估掌侧和背侧锁定钢板内固定治疗桡骨远端骨折术后的疗效。方法回顾性分析我院2008年1月~2011年1月146例老年桡骨远端骨折患者,平均年龄（66.4±8.3）岁,平均随访时间（36.4±13.3）月。其中112例采用掌侧锁定钢板固定,34例患者采用背侧锁定钢板固定。比较术后的复位情况、功能评分以及术后并发症。结果掌侧和背侧锁定钢板固定术后掌倾角、尺偏角及桡骨茎突高度均明显改善;术后功能评分两组无显著性差异。背侧锁定钢板内固定治疗组术后并发症较掌侧锁定钢板内固定术组高。结论掌侧锁定钢板内固定在大多数桡骨远端骨折类型中的疗效较好。在一些特殊病例中,背侧入路仍需考虑。Objective The aim of this study was to evaluate curative effect of volar versus dorsal locking plates after distal radius fractures.Methods Retrospective investigation and analysis were carried out in 146 patients with distal radius fractures were treated with locked plating from January 2008 to January 2011.The mean age of the patients was（66.4±8.3）years and the mean follow up was（36.4±13.3）months.The palmar approach was used in 112 cases and the dorsal approach in34 cases patients.The postoperative reduction potential,wrist function,complieations were compared between the two groups.Results Postoperative volar tilt,ulnar deviation and radial styloid height of both groups was achieved a nearly anatomic reduction.No statistically significant scores of wrist function difference existed between the two groups.In the dorsal group,the complications rates were significantly higher.Conclusion Based on these facts,we advocate the palmar locking plate for the vast majority of fractures.In special cases,dorsal plating may still be considered.

关 键 词：掌侧 背侧 内固定 老年桡骨远端骨折 

分 类 号：R683[医药卫生—骨科学]