有限切开结合外固定支架与掌侧锁定加压钢板治疗老年桡骨远端C3.1型骨折临床疗效比较  

Comparison of the Clinical Efficacy between the Limited Incision Combined with External Fixation and Volar Locking Compression Plate in the Treatment of AO Type C3.1 Fractures of the Elderly Distal Radius

作　　者：张勇[1] 王永勤[2] 张树立[1] 

机构地区：[1]潍坊市中医院创伤矫形骨科,山东潍坊261041 [2]潍坊市人民医院感染科

出　　处：《潍坊医学院学报》2015年第6期467-469,共3页Acta Academiae Medicinae Weifang

摘　　要：目的观察有限切开结合外固定支架与掌侧锁定加压铜板治疗老年桡骨远端C3.1型骨折的疗效。方法将46例高龄桡骨远端C3.1型骨折病人随机分成两组,通过有限切开结合外固定支架(24例)或掌侧锁定加压钢板两种方案进行治疗(22例),比较其桡骨远端掌倾角、尺偏角、桡骨高度、关节面台阶的差异性。结果按照腕关节功能按照Sarmiento标准评定,支架组:优良率:91.6%;钢板组:优良率:95.4%.根据改良Lidstrom-Radiographic评分系统,评定两组桡骨远端掌倾角、尺偏角、桡骨高度、关节面台阶,两组评分差异无统计学意义(P>0.05)。结论对于老年桡骨远端C3.1型骨折的治疗,有限切开结合外固定支架与掌侧锁定加压钢板都是很好的治疗方案。Objective To analyse the curative effect of the limited incision combined with external fixation and volar locking compression plate in the treatment of AO type C3.1 fractures of the elderly distal radius.Methods Forty-six cases of elderly patients with distal radius type C3.1 fractures were randomly divided into two groups,through limited incision combined with external fixation（24 cases） or volar locking compression plate two options for treatment （22 cases） .And the difference between the radius distal palmar tilt,ulnar deviation,radial height,articular surface step were compared by above two methods.Results According to the Sarmiento standard,the wrist joint functions were evalu-ated,external fixation group：excellent rate：91.6%;locking compression plate group：excellent rate：95.4%.According to the modified Lidstrom-Radiographic grading system,evaluate the difference in the two groups of distal radial palmar tilt,ulnar deviation,radial height,articular step.There was no significant difference between the two groups（ P〉0.05） . Conclusion For the treatment of AO type C3.1 fractures in elderly patients with distal radius fractures,the limited inci-sion combined with external fixation and volar locking compression plate are both good treatment methods.

关 键 词：桡骨远端 外固定支架 有限切开 掌侧锁定加压钢板 

分 类 号：R683.41[医药卫生—骨科学]