锁定钢板内固定与外架固定治疗桡骨远端C型骨折的疗效比较  

The Effect Comparison of Locking Plate Internal Fixation and External Frame Fixation for the Treatment of Type C Fracture of Distal Radius

作　　者：柯新 朱建河 古显波 吴铭涛 KE Xin;ZHU Jian - he;GU Xian - bo(Department of orthopedics,Dalang hospital of Dongguan city,Dongguan,Guangdong 523785)

机构地区：[1]广东东莞大朗医院,广东东莞523785

出　　处：《中国伤残医学》2019年第19期12-14,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:比较切开复位锁定钢板(locking plate,LCP)内固定与外固定支架(external fixator,EF)固定治疗梭骨远端C型骨折的疗效。方法:2015年9月-2017年10月收治66例桡骨远端C型骨折患者。30例切开复位LCP内固定治疗(LCP组),36例采用EF固定治疗(EF组)。比较2组患者术后3、6个月时患侧掌倾角、尺偏角、桡骨高度恢复情况;末次随访时患侧腕关节活动度;采用改良Mayo腕关节功能评分法评估患侧腕关节功能;记录并比较术后并发症发生情况。结果:术后3、6个月时LCP组掌倾角、尺偏角、桡骨高度恢复水平均优于EF组,差异有统计学意义(P<0.05)。末次随访时2组患侧腕关节活动度无明显差异(P>0.05);2组腕关节功能Mayo评分及优良率比较无明显统计学差异(P>0.05)。2组术后并发症发生率无明显统计学差异(P>0.05)。结论:切开复位LCP内固定与EF固定治疗桡骨远端C型骨折疗效均满意,但术后短期内LCP内固定对维持掌倾角、尺偏角、桡骨高度初始复位更好一些。EF固定有一定程度的掌初始复位丟失,但并不影响患侧关节功能恢复。Objective:To compare the effect of open reduction locking plate(LCP)internal fixation and external fixator(EF)fixation for the treatment of type C fractures of the distal radius.Methods:From September 2015 to October 2017,66 patients with type C fractures of the distal radius were treated.30 patients underwent open reduction LCP internal fixation(LCP group)and 36 patients received EF fixation(E F group).The palm tilt,ulnar inclination,and humeral height recovery were compared between the two groups at 3,6 months after surgery.The wrist joint activity at the last follow-up was evaluated.The Mayo score was used to evaluate the function of the affected wrist.Record and compare postoperative complications.Results:At 3 and 6 months postoperatively,the palm tilt,ulnar inclination,and humeral height recovery in the LCP group were better than those in the EF group,the difference was statistically significant(P<0.0 5).There was no significant difference in the activity of the wrist joints between the two groups at the last follow-up(P>0.0 5).There were no significant difference in the Mayo scores and excellent rate between the two groups(P>0.0 5).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:LCP internal fixation and EF fixation are satisfactory for the treatment of type C fractures of the distal radius.However,in the short term,LCP internal fixation is better for maintaining the palm tilt,ulnar inclination,and humeral height recovery.EF fixation has a certain degree of palm tilt,ulnar inclination,and humeral height reduction loss,but does not affect the recovery of the affected joint function.

关 键 词：桡骨远端C型骨折 锁定钢板内固定 外固定架 疗效比较 

分 类 号：R683.41[医药卫生—骨科学]