双钢板固定治疗桡骨远端合并尺骨头骨折的疗效分析  

Clinical efficacy analysis of double plate fixation in the treatment of distal radius fracture combined with ulnar head fracture

作　　者：张玥[1] 邵钦[1] 刘芳[1] 陈春华[1] 杨晨松 赵静磊 孙贵新[1] Zhang Yue;Shao Qin;Liu Fang;Chen Chunhua;Yang Chensong;Zhao Jinglei;Sun Guixin(Department of Traumatic Surgery,Shanghai East Hospital of Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院创伤外科,上海200120

出　　处：《中华手外科杂志》2020年第2期81-84,共4页Chinese Journal of Hand Surgery

基　　金：上海市周围神经显微外科重点实验室项目(17DZ2270500);上海市科委医学引导类科技支撑项目(17411968400)。

摘　　要：目的探究采用双钢板固定治疗桡骨远端合并尺骨头骨折的效果。方法自2014年3月至2017年8月,我们共收治16例桡骨远端合并尺骨头骨折患者,采用切开复位双钢板固定治疗,术后积极康复锻炼。根据患者一般情况、术后影像学测量参数和Gartland-Werley腕关节评分评估手术效果。分析该方法治疗桡骨远端合并尺骨头骨折的可行性、适应证及手术要点。结果术后14例患者获得随访,2例失访,随访时间为12~15个月,平均13个月。影像学结果提示所有患者骨折均愈合,且达到解剖复位。根据Gartland-Werley腕关节评分:优10例,良2例,中2例。患侧腕关节平均掌屈(69.51±1.97)°、背伸(70.26±2.71)°、旋前(76.55±3.41)°、旋后(71.35±1.54)°,与健侧比较差异无统计学意义(P>0.05)。结论采用双钢板固定治疗桡骨远端合并尺骨头骨折术后可行早期锻炼,患侧腕关节功能恢复良好,值得应用。Objective To investigate the clinical efficacy of double plate fixation in the treatment of distal radius fracture combined with ulnar head fracture.Methods From March 2014 to August 2017,16 cases of distal radius fracture combined with ulnar head fracture were treated with open reduction and double plate fixation.Postoperative active rehabilitation exercise was performed after operation.According to the general situation of patients,postoperative radiographic parameters and Gartland-Werley wrist score,the operation effect was evaluated.The feasibility,indications and key points of this method in the treatment of distal radius fracture combined with ulnar head fracture were analyzed.Results Fourteen patients were follow-up and 2 patients were lost.The follow-up period ranged from 12 to 15 months with an average of 13 months.The radiographic results showed that all the fractures healed and achieved anatomical reduction.According to Gartland-Werley wrist score,the results were rated as excellent in 10 cases,good in 2 cases,fair in 2 cases.The average angle of the affected wrist was(69.51±1.97)°in flexion,(70.26±2.71)°in extension,(76.55±3.41)°in pronation and(71.35±1.54)°in supination.There was no significant difference in range of motion between the affected side and the healthy side(P>0.05).Conclusion The function of the wrist recovered well after the treatment of distal radius fracture combined with ulnar head fracture with double plate fixation,which is worthy of clinical application.

关 键 词：桡骨骨折 治疗结果 双钢板 尺骨头 

分 类 号：R687[医药卫生—骨科学]