关节镜辅助切开复位内固定手术在老年不稳定性桡骨远端骨折患者治疗中的效果观察  

Observation on the Effectiveness of Arthroscopic Assisted Open Reduction and Internal Fixation Surgery in the Treatment of Unstable Distal Radius Fractures in Elderly Patients

作　　者：刘忠来 LIU Zhong-lai(Orthopedics Department of Tonggu County People’s Hospital,Jiangxi Yichun 336200)

机构地区：[1]铜鼓县人民医院骨科,江西宜春336200

出　　处：《中国医疗器械信息》2024年第17期115-117,共3页China Medical Device Information

摘　　要：目的:探讨老年不稳定性桡骨远端骨折经关节镜辅助切开复位内固定手术的治疗效果。方法:择取2020年10月~2023年6月铜鼓县人民医院骨科收治的老年不稳定性桡骨远端骨折患者108例,随机分为对照组(n=54)、观察组(n=54)。对照组采用切开复位内固定手术,观察组采用关节镜辅助切开复位内固定手术,记录手术相关指标与并发症发生情况,评估骨折复位效果以及腕关节功能改善情况。结果:观察组手术时间、术中出血量多于对照组,住院与骨折愈合时间均较对照组短,术后6个月的尺偏角、腕关节功能优良率较对照组高,术后6个月的掌倾角较对照组低,差异有统计学意义(P<0.05)。观察组切口感染、关节面不平整、肩手综合征等总发生率为3.70%,对照组为9.26%,组间比较差异无统计学意义(P>0.05)。结论:可依据实际情况对老年不稳定性桡骨远端骨折患者择取关节镜辅助切开复位内固定手术治疗,其复位效果理想,可有效改善关节功能,加快术后恢复速度。Objective:To investigate the effect of arthroscopic assisted open reduction and internal fixation in the treatment of unstable distal radius fractures in the elderly patients.Methods:108 elderly patients with unstable distal radius fractures admitted to the Orthopedics Department of Tonggu County People's Hospital from October 2020 to June 2023 were randomly divided into a control group(n=54)and an observation group(n=54).The control group received open reduction and internal fixation surgery,while the observation group received arthroscopic assisted open reduction and internal fixation surgery.The related indexes and complications of surgery were recorded,and the effect of fracture reduction and the improvement of wrist joint function were evaluated.Results:The observation group had more surgery time and intraoperative blood loss than the control group,and shorter hospital stay and fracture healing time compared to the control group.The excellent and good rates of ulnar deviation angle and wrist joint function were higher in the observation group than in the control group at 6 months after surgery,and the palm tilt angle was lower in the observation group than in the control group at 6 months after surgery,with statistical significance(P<0.05).The total incidence rate of incision infection,articular surface unevenness,shoulder hand syndrome,etc.in the observation group was 3.70%,while in the control group it was 9.26%.There was no statistically significant difference between the groups(P>0.05).Conclusion:For elderly patients with unstable distal radius fractures,arthroscopic assisted open reduction and internal fixation can be selected according to the actual situation,and the reduction effect is ideal,which can effectively improve joint function and speed up postoperative recovery.

关 键 词：不稳定性桡骨远端骨折 老年 关节镜辅助切开复位内固定手术 腕关节功能 

分 类 号：R687.3[医药卫生—骨科学]