带关节外固定支架结合有限内固定治疗桡骨远端粉碎性骨折疗效观察  

Effect of dynamic articulars panning external fixation combined with finite internal fixation for comminuted fractures of distalradius

作　　者：吴维国[1] 吴晓君[1] 孙晟君 罗靖致 Wu Weiguo Wu Xiaojun Sun Shengjun Luo Jingzhi(Departement of Hand and Feet Surgery, Taizhou Humanity Hospital, Taizhou , Zhejiang 318050, China)

机构地区：[1]台州市博爱医院手足外科,浙江省台州318050

出　　处：《中国基层医药》2016年第20期3134-3138,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨带关节外固定支架结合有限内固定治疗桡骨远端粉碎性骨折疗效。方法选取100例桡骨远端粉碎性骨折患者，随机分为对照组和研究组，每组各50例，对照组接受常规手法复位结合石膏外固定治疗，研究组接受带关节外固定支架结合有限内固定治疗，比较两组患者疗效、掌倾角及尺偏角的差异。结果（1）经过手术和康复治疗后，对照组有15例患者达到优，研究组有28例患者达到优（P ＝0．086）；对照组有9例患者为差，研究组仅有2例患者为差（P ＝0．025）。（2）术后3个月时，对照组掌倾角为（6．5±2．2）°，研究组掌倾角为（8．5±2．5）°，对照组尺偏角为（12．3±4．3）°，而研究组尺偏角为（15．6±6．6）°，研究组掌倾角和尺偏角均大于对照组（t ＝4．25，P ＜0．0001；t ＝2．96，P ＝0．0038）。术后6个月时，对照组掌倾角为（6．2±2．3）°，研究组掌倾角为（8．8±2．5）°；对照组尺偏角为（12．1±4．1）°，研究组尺偏角为（16．3±4．4）°，两组比较差异具有统计学意义（t ＝5．41，P ＜0．0001，t ＝4．93，P ＜0．0001）。结论带关节外固定支架结合有限内固定治疗桡骨远端粉碎性骨折效果显著，值得临床推广。Objective To observe the effect of dynamic articulars panning external fixation combined with limited internal fixation for distal radius comminuted fracture.Methods 100 comminuted distal radius fractures patients during September 2014 and September 2014 in our hospital were selected and randomly divided into control group and research group,50 cases in each group.Patients of the control group accepted conventional manual reduc-tion combined with plaster external fixation,patients of the research group accepted dynamic articulars panning exter-nal fixation combined with limited internal fixation treatment.Curative effect,the palm inclination angle and feet were compared between the two groups.Results （1）After surgical treatment and rehabilitation therapy,15 patients in the control group achieved optimal degree,28 cases in the research group achieved optimal degree（P =0.086）;9 cases in the control group were the poor degree;only 2 patients in the research group were poor degree（P =0.025）.Statistical analysis showed that two differences were statistically significant,（P 〈0.05）.（2）After 3 months,the palmar tilt of patients in the control group was （6.5 ±2.2）°,while that of the research group was （8.5 ±2.5）°（t =4.25,P 〈0.000 1 ）;The average ulnar deviation of control group was （12.3 ±4.3）°,and that of the research group was （15.6 ±6.6）°（t =2.96,P =0.003 8）.In a word,the average palmar tilt and ulnar deviation of the research group were greater than those in the control group,the difference showed statistically significant.6 months later,the average palmar tilt of the control group patients was （6.2 ±2.3）°,that of the research group was （8.8 ±2.5）°（t =5.41, P 〈0.000 1 ）;the ulnar deviation of the control group was （12.1 ±4.1 ）°,and that of the research group was （16.3 ±4.4）°（t =4.93,P 〈0.000 1）,the difference was statistically significant.Conclusion Dynamic articulars panning external fixation combined with limited internal fix

关 键 词：桡骨远端粉碎性骨折 带关节外固定 有限内固定 

分 类 号：R687.3[医药卫生—骨科学]