外固定支架结合小夹板外固定术与切开复位内固定术治疗老年不稳定性桡骨远端骨折的效果差异分析  

Analysis of the Difference between External Fixator Combined with Small Splint External Fixation and Open Reduction and Internal Fixation in the Treatment of Unstable Distal Radius Fractures in the Elderly

作　　者：陈群 CHEN Qun(Department of Orthopaedic Surgery,Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu Province,225000 China)

机构地区：[1]扬州大学附属医院骨外科

出　　处：《世界复合医学》2019年第11期84-86,共3页World Journal of Complex Medicine

摘　　要：目的以老年不稳定型桡骨远端骨折患者为研究对象,分析并对比患者采用外固定支架与小夹板外固定术治疗及切开复位内固定的治疗效果。方法以自2015年7月-2019年4月62例该院收治的老年不稳定性桡骨远端骨折患者作为该次研究对象,随机将纳入患者分为参照组(n=31)与观察组(n=31),为参照组患者实施钢板内固定术,为观察组患者实施外固定支架与小夹板外固定联合治疗。结果患者术中出血量、手术时间组间对比差异有统计学意义(t=30.715、16.913,P=0.002、0.014),观察组患者骨折愈合时间较参照组短(t=1.384,P=0.075)。对比治疗前、治疗后3个月至治疗后6个月患者尺偏角及掌倾角组间差异无统计学意义(t=1.045、0.894、1.731,P>0.05;t=0.946、1.379、0.992,P>0.05)。治疗后3个月参照组腕关节功能总优良率为96.77%,观察组腕关节功能总优良率为77.42%,参照组腕关节功能总优良率高于观察组(χ~2=21.078,P=0.017)。治疗后6个月参照组腕关节功能总优良率为96.77%,观察组腕关节功能总优良率为90.32%,两组腕关节功能总优良率差异无统计学意义(χ~2=1.884,P=0.051)。结论老年不稳定型桡骨远端骨折患者采用外固定支架与小夹板外固定术结合治疗及切开复位内固定均能够取得较为理想的治疗效果。Objective To investigate the effect of external fixation and small splint external fixation and open reduction and internal fixa-tion in patients with unstable distal radius fractures. Methods From July 2015 to April 2019, 62 patients with unstable distal radius fractures admitted to the hospital were enrolled in this study. Patients were randomly divided into reference group( n=31) and observation group(n=31), the patients in the reference group were treated with plate fixation, and the patients in the observation group were treated with external fixation and small splint. Results There was statistically significant difference in intraoperative blood loss and operative time between the groups(t=30.715,16.913,P=0.002,0.014). The fracture healing time of the observation group was shorter than that of the reference group(t=1.384, P=0.075). There was no statistically significant difference between the ulnar angle and the palm tilt angle before treatment, from 3 months after treatment to 6 months after treatment(t =1.045,0.894,1.731,P >0.05;t =0.946,1.379,0.992,P>0.05). The total excellent and good rate of wrist joint function in the reference group was 96.77% 3 months af-ter treatment. The total excellent and good rate of wrist joint function in the observation group was 77.42%. The total excellent rate of wrist joint function in the reference group was higher than that in the observation group(χ~2=21.078, P=0.017). The total excellent and good rate of wrist joint function in the reference group was 96.77% 6 months after treatment, and the total excellent and good rate of wrist joint function in the observation group was 90.32%. There was no statistically significant difference in the total excellent rate of wrist joint function between the two groups(χ~2=1.884, P=0.051). Conclusion The elderly patients with unstable distal radius fractures can achieve better therapeutic results by external fixation combined with small splint external fixation and open reduction and internal fixation.

关 键 词：外固定支架 小夹板外固定术 切开复位内固定术老年不稳定性桡骨远端骨折 治疗效果差异分析 

分 类 号：R687.3[医药卫生—骨科学]