金针复位技术治疗老年Colles骨折的临床疗效观察  

Clinical observation of gold needle reduction technique in the treatment of elderly Colles fracture

作　　者：段立强 古恩鹏 张起 赵鹏 许志宇 郭子煜 潘志铖 DUAN Li-qiang;GU En-peng;ZHAO Peng(Department of Orthopedics,Binhai New Area Hospital of Traditional Chinese Medicine Tianjin,Tianjin 300450,China)

机构地区：[1]天津市滨海新区中医医院骨伤科,天津300450 [2]天津中医药大学第二附属医院,天津300000 [3]河北省唐山市中医医院骨伤科,河北063000 [4]天津中医药大学,天津301600

出　　处：《中国中西医结合外科杂志》2025年第1期66-69,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：天津市卫生和计划生育委员会中医中西医结合科研课题(2023198);天津市教委科研计划项目(2023KJ172)。

摘　　要：目的:探讨金针复位技术治疗老年Colles骨折的临床效果。方法:选取2021年10月—2023年2月天津滨海新区中医医院收治的老年Colles骨折患者32例,采用金针复位技术治疗。记录手术时间、术中出血量、骨折愈合、功能恢复情况,术后3个月,采用Gartland-Werley评分标准评价治疗后的腕关节功能。结果:所有患者均获得随访,时间5~12周。骨折愈合时间6~12周,平均8.3周,手术时间15~75 min,平均40.9 min,术中出血量2~20 mL,平均6.5 mL。在影像学评估方面,患者的术后1周、拔钉后2周的尺偏角及桡骨长度均高于术前,掌倾角小于术前,差异均有统计学意义(P <0.001);术后1周与拔钉后2周的尺偏角、掌倾角及桡骨长度无明显差异。术后5~8周,X线评分优良率为93.7%;术后3个月,按Gartland-Werley腕关节功能评分优良率为96.8%。术后未见神经血管肌腱损伤、针道感染等相关并发症。结论:金针复位技术治疗桡骨远端骨折创伤小、出血少、并发症少,患者腕关节功能恢复好。Objective To explore the effectiveness of the gold pin reduction technique in treating Colles fracture in the elderly.Methods The Gold pin reduction technique was used to treat 32 cases of Colles fracture of distal radius in the elderly.The operation time,intraoperative bleeding,fracture healing,and functional recovery were recorded,and wrist function was evaluated according to the Gartland-Werley scale.Results All patients were followed up for 5-12 weeks.Fracture healing time was 6-12 weeks,with a mean of 8.3 weeks,operative time was 15-75 min,with a mean of 40.9 min,and intraoperative bleeding was 2-20 mL,with a mean of 6.5 mL.In terms of imaging assessment,the patients showed statistically significant differences in ulnar deviation,palmar inclination,and radial length at 1 week postoperatively and at 2 weeks post-nail extraction from preoperative levels.The excellent rate of X-ray scores at 5-8 weeks postoperatively was 93.7%;Gartland-Werley wrist function score at 12 weeks after surgery was 96.8%.There were no postoperative complications such as neurovascular tendon injury and needle tract infection.Conclusion The treatment of distal radius fracture with the golden restoration technique has the advantages of less trauma,less bleeding,fewer complications,and good recovery of wrist joint function.

关 键 词：金针复位技术 COLLES骨折 Gartland-Werley评分 

分 类 号：R683.41[医药卫生—骨科学] R274.11[医药卫生—外科学]