带袢钢板与克氏针固定治疗下尺桡关节脱位疗效比较  

Comparison of the efficacy of loop steel plate and K-wire fixation in the treatment of ulna-radial joint dislocation

作　　者：鲁俊杰[1] 楚利涛[1] 杨通宝[1] 尚林[1] 任明明[1] 王晓云[1] 吕志强[1] Lu Junjie;Chu Litao;Yang Tongbao;Shang Lin;Ren Mingming;Wang Xiaoyun;Lyu Zhiqiang(Department of Minimally Invasive Orthopedics,Zhengzhou Orthopaedic Hospital,Zhengzhou 450052 china)

机构地区：[1]郑州市骨科医院微创骨科,郑州450052

出　　处：《中华实验外科杂志》2024年第11期2624-2627,共4页Chinese Journal of Experimental Surgery

摘　　要：目的:比较带袢钢板和克氏针固定治疗下尺桡关节脱位疗效。方法:分析郑州市骨科医院2018年5月至2023年7月收治的62例下尺桡关节脱位早期患者,根据手术方式不同分为两组,对照组采用克氏针固定术,观察组采用带袢钢板固定术,各31例。随访时间(14.5±1.5)个月。对比两组间手术时间、术中出血量、透视次数,术前、术后1周、术后12个月的Cooney腕关节评分及术后1年内并发症。术前、术后1周、术后12个月两组间Cooney腕关节评分均采用独立样本 t检验。 结果:随访期间所有患者无切口感染,对照组发生1例下尺桡关节半脱位,术后12个月观察组Cooney腕关节评分、患侧屈伸活动度与旋前旋后活动度均高于对照组[Cooney腕关节评分为,疼痛(24.03±0.80)分比(22.81±1.62)分,功能状况(24.22±0.52)分比(22.87±1.46)分,活动范围(24.07±0.85)分比(22.13±1.59)分,握力(23.61±1.38)分比(22.42±1.63)分,屈伸活动度为(108.03±4.68)°比(101.45±5.84)°, P<0.05;旋前旋后活动度为(111.84±7.70)°比(109.13±13.64)°, P<0.05]。 结论:带袢钢板固定术较克氏针治疗下尺桡关节脱位疗效更好,可有效减轻腕关节疼痛,恢复腕关节功能。Objective To compare the efficacy of circumflex and K-wire fixation in the treatment of ulnaradial joint dislocation.Methods A total of 62 patients with early ulnar-radial dislocation admitted to Zhengzhou Orthopaedic Hospital from May 2018 to July 2023 were analyzed,and they were divided into two groups according to different surgical methods:K-wire fixation in the control group and 31 cases in the observation group with loop plate fixation.The follow-up time was(14.5±1.5)months.The operation time,intraoperative blood loss,fluoroscopy times,Cooney wrist score and complications within 1 year before surgery,1 week after surgery,and 12 months after surgery were compared between the two groups.The Cooney wrist score between the two groups before surgery,1 week after surgery,and 12 months after surgery was performed using an independent sample t-test.ResultsDuring the follow-up period,all patients had no incision infection,and one case of ulnar-radial subluxation occurred in the control group,and the Cooney wrist score,flexion and extension range of motion of the affected side,and pronation and supination range of motion in the observation group were higher than those in the control group at 12 months after surgery[Cooney wrist score,pain(24.03±0.80)points vs.(22.81±1.62)points,functional status(24.22±0.52)points vs.(22.87±1.46)points,range of motion(24.07±0.85)points vs.(22.13±1.59)points,grip strength(23.61±1.38)points vs.(22.42±1.63)points,flexion and extension range of motion(108.03±4.68)°vs.(101.45±5.84)°,P<0.05,pronation and supination range of motion(111.84±7.70)°vs.(109.13±13.64)°,P<0.05].Conclusion Compared with K-wires in the treatment of lower ulnar-radial joint dislocation,plate fixation with loops has better efficacy,and can effectively reduce wrist pain and restore wrist joint function.

关 键 词：下尺桡关节脱位 带袢钢板 克氏针 疗效 

分 类 号：R687.4[医药卫生—骨科学]