史赛克单边外固定架联合综合康复疗法在桡骨远端骨折术后患者中的应用价值  

Application of the Stryker unilateral external fixator combined with comprehensive rehabilitation therapy in postoperative patients with distal radius fractures

作　　者：彭雪洲 刘莹 孔得宇 蔡志娟 张婷婷 PENG Xuezhou;LIU Ying;KONG Deyu(Department of Hand Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100093,China;不详)

机构地区：[1]首都医科大学附属北京积水潭医院手外科,北京市100093 [2]中国中医科学院望京医院康复治疗部

出　　处：《河北医药》2024年第10期1544-1547,共4页Hebei Medical Journal

基　　金：北京市科技计划课题(编号:Z221100007422075)。

摘　　要：目的研究史赛克单边外固定架联合综合康复疗法在桡骨远端骨折术后患者中的应用效果。方法本研究为前瞻性研究,纳入2021年11月至2023年3月首都医科大学附属北京积水潭医院80例完成切开复位内固定术治疗的C型桡骨远端骨折患者为研究对象,采用随机数字表法将患者分为对照组和观察组,每组40例。对照组应用综合康复疗法,观察组在对照组的基础上应用史赛克单边外固定架,均干预3个月。统计2组患者干预1、2、3个月时骨痂X线评分。比较2组干预前、干预3个月时腕关节主动活动度(背伸、掌屈、尺偏、桡偏)。统计干预3个月时2组Gartland-Werley(G/W)评分优良率及干预期间术后并发症情况。结果2组患者干预1、2、3个月时骨痂X线评分逐渐提高,且观察组各时点评分均高于对照组(P<0.05)。干预3个月,2组腕关节背伸、掌屈、尺偏、桡偏活动度均较干预前提高,且观察组上述指标均高于对照组(P<0.05);观察组G/W评分优良率高于对照组(P<0.05)。干预期间2组术后并发症总发生率比较,差异无统计学意义(P>0.05)。结论史赛克单边外固定架联合综合康复疗法可促进桡骨远端骨折术后患者骨折愈合,改善腕关节主动活动范围,恢复腕关节功能。Objective To observe the application effect of the Stryker unilateral external fixator combined with comprehensive rehabilitation therapy in postoperative patients with distal radius fractures.Methods This was a prospective study including 80 patients with C-type distal radius fractures who were surgically treated with open reduction and internal fixation in Beijing Jishuitan Hospital,Capital Medical University from November 2021 to March 2023.The patients were divided into the control group and observation group using a random number table,with 40 patients per group.Patients in the both groups were treated with comprehensive rehabilitation therapy,while those in the observation group were additionally treated with Stryker unilateral external fixator for 3-month intervention.The callus X-ray scores at 1,2 and 3 months of intervention were graded.The active range of motion(dorsiflexion,palmar flexion,ulnar deviation,radial deviation)of wrist joint before intervention and 3 months after intervention were compared between the two groups.The excellent and good rate of the Gartland-Werley(G/W)score at 3 months after intervention and postoperative complications during intervention were compared.Results At the 1st,2nd,and 3rd month of intervention,X-ray scores of the bone callus in the two groups gradually increased,and which were significantly higher in the observation group than in the control group at all time points(P<0.05).After 3 months of intervention,the range of motion(ROM)of wrist joint dorsiflexion,palmar flexion,ulnar deviation,and radial deviation in both groups increased significantly compared to before intervention,and the observation group was superior to the control group for ROM(P<0.05).The excellent and good rate of G/W score in the observation group was significantly higher than that of the control group(P<0.05).There was no significant difference in the total incidence of postoperative complications between groups during the intervention period(P>0.05).Conclusion Stryker unilateral external fixator

关 键 词：桡骨远端骨折 康复 单边外固定架 腕关节功能 

分 类 号：R683.414[医药卫生—骨科学]