应用外固定支架与掌侧锁定钢板内固定手术方法治疗桡骨远端C型骨折对腕关节功能的影响  

The Effect of External Fixation and Volar Locking Plate Internal Fixation in the Treatment of Type C Fractures of the Distal Radius on the Function of the Wrist Joint

作　　者：雷扬[1] 疏致富[1] 孙军[1] LEI Yang;SHU Zhifu;SUN Jun(Department of Orthopedics,Sihong County People's Hospital,Sihong,Jiangsu Province,223900 China)

机构地区：[1]江苏省泗洪县人民医院骨外科,江苏泗洪223900

出　　处：《系统医学》2021年第24期127-130,共4页Systems Medicine

摘　　要：目的评估外固定支架与掌侧锁定钢板内固定手术治疗桡骨远端C型骨折的效果及对腕关节功能的影响。方法选取2017年12月-2021年2月该院治疗的103例桡骨远端C型骨折患者为研究对象。基于不同治疗术式予以分组,对照组(51例,外固定支架术),观察组(52例,掌侧锁定钢板内固定术);对比评价两组住院时间、骨折愈合时间、骨折复位质量以及腕关节功能情况。结果观察组骨折愈合时间(19.72±3.46)周与住院时间(10.03±1.24)d均显著长于对照组(13.89±2.12)周、(5.96±0.41)d,差异有统计学意义(t=-10.287、-22.274,P<0.05)。两组术后3个月及6个月,掌倾角、尺偏角及桡骨短缩长度3项骨折复位质量指标对比,差异无统计学意义(P>0.05);观察组术后6个月背伸(53.57±2.02)分、屈曲(48.91±1.93)分、旋前(83.78±2.35)分及旋后(82.15±2.29)分4项腕关节活动度评分均显著高于对照组(41.16±1.87)分、(40.12±1.75)分、(70.25±1.93)分、(71.03±2.01)分,差异有统计学意义(t=-32.339、-24.200、-31.897、-26.172,P<0.001)。结论外固定支架与掌侧锁定钢板内固定两种术式各有利弊,临床中应依据患者具体病情予以选择。Objective To evaluate the effect of external fixation and volar locking plate internal fixation in the treatment of type C fractures of the distal radius and its influence on wrist joint function. Methods A total of 103 patients with type C fractures of the distal radius treated in this hospital from December 2017 to February 2021 were selected as the research objects. They were divided into groups based on different treatment methods, the control group(51 cases, external fixation), and the observation group(52 cases, volar locking plate internal fixation). The hospitalization time, fracture healing time, fracture reduction quality and wrist function of the two groups were compared and evaluated. Results The fracture healing time(19.72±3.46) weeks and hospitalization time(10.03±1.24) d of the observation group were significantly longer than those of the control group(13.89±2.12) weeks and(5.96±0.41) d,the difference was statistically significant(t=-10.287,-22.274, P<0.05). There was no statistically significant difference between the three fracture reduction quality indicators of palm inclination, ulnar deflection and radius shortening between the two groups at 3 and 6 months after surgery(P>0.05). In the observation group, the four wrist joint range of motion scores were scored at 6 months after surgery(53.57 ±2.02)points, flexion(48.91 ±1.93)points, pronation(83.78 ±2.35)points and supination(82.15 ±2.29)points, significantly higher than the control group(41.16 ±1.87)points,(40.12 ±1.75)points,(70.25 ±1.93)points,(71.03 ±2.01)points, the difference was statistically significant(t =-32.339,-24.200,-31.897,-26.172, P <0.001). Conclusion External fixation stent and palmar locking plate internal fixation have their own advantages and disadvantages, which should be selected according to the specific condition of patients in clinical practice.

关 键 词：桡骨远端C型骨折 外固定支架 掌侧锁定钢板 骨折愈合 骨折复位质量 腕关节功能 

分 类 号：R683[医药卫生—骨科学]