半环式外固定架治疗C型桡骨远端骨折21例  

21 Cases Clinical Report on Half Ring External Fixator on the Treatment of Type C Distal Radius Fracture

作　　者：金桥 成永忠 陈亦历 许晶晶 陈洋 张琪 JIN Qiao;CHENG Yongzhong;CHEN Yili;XU Jingjing;CHEN Yang;ZHANG Qi(Department of Orthopaedics,Beijing Xuanwu Hospital of Traditional Chinese Medicine,Beijing 100050,China)

机构地区：[1]北京市宣武中医医院,北京100050

出　　处：《中国中医骨伤科杂志》2022年第5期54-58,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:采用半环式外固定架治疗C型桡骨远端骨折,观察对桡骨短缩移位的干预,评估其临床疗效。方法:回顾性纳入2016年1月至2019年10月C型桡骨远端骨折患者21例。研究在术前、术后当日、术后3周、6周及半年共5个时间点受试桡骨高度指标情况,进行重复测量资料的方差分析。研究术前、术后6周及半年共3个时间点评估受试Garland-Werley(GW)指标情况,进行重复测量资料的方差分析。结果:桡骨高度方面,术后当日、术后3周及6周时,桡骨高度变化差异无统计学意义(P>0.05)。半年后(即拆除外固定架后)出现高度降低,差异有统计学意义。GW指标在术后半年时明显优于术后6周,差异有统计学意义(P<0.05)。结论:半环式外固定架治疗C型桡骨远端骨折,可发挥其优势,维持桡骨高度并恢复腕关节功能,但固定架拆除后仍会有部分桡骨高度降低。Objective:To treat type C distal radius fractures by half ring external fixator,observe the intervention of radial shortening and displacement,and evaluate its clinical efficacy and guide clinical application.Methods:21patients with type C distal radius fracture from January 2016to October 2019were retrospectively included.The radial height indexes at 5 time points before operation,after operation,3weeks,6weeks and half a year were studied and the variance of repeated measurement data were analyzed.The Garland-Werley(GW)indexes were evaluated at three time points before operation,6weeks and half a year,and the analysis of variance of repeated measurement data was carried out.Results:There was no significant difference in radial height after operation,3weeks and 6weeks.There was a statistical difference in height reduction after half a year after removing the external fixator.The GW index at half a year after operation was significantly better than that at 6weeks after operation when the external fixator was removed,which was statistically significant.Conclusion:Half ring external fixator can play its advantages in the treatment of type C distal radius fracture,maintain radius height and restore wrist function.However,the height of part of the radius will still be reduced after the removal of the fixator.

关 键 词：桡骨远端骨折 外固定架 桡骨高度 腕关节功能 

分 类 号：R683.41[医药卫生—骨科学]