Observation on the Clinical Treatment Effect of Arthroscopic Assisted Open Reduction and Internal Fixation Surgery in Patients with Unstable Distal Radius Fractures
Objective To explore the clinical effect of arthroscopic assisted open reduction and internal fixation surgery for unstable distal radius fractures (DRF). Methods A total of 80 unstable DRF patients admitted to our hospital from November 2020 to November 2022 were selected as the research subjects. They were randomly divided into a control group and an experimental group,with 40 patients in each group,using a random number table method. The control group was treated with open reduction and internal fixation (ORIF),while the experimental group was treated with arthroscopic assisted open reduction and internal fixation. Compare the clinical efficacy,excellent rate of wrist joint function recovery,and perioperative related indicators between two groups. Results The total effective rate of the experimental group was 95.00％,which was higher than the control group's 80.00％,and the difference was statistically significant (P<0.05). Three months after surgery,the wrist joint function of the experimental group was better than that of the control group,and the difference was statistically significant (P<0.05). The intraoperative blood loss of the experimental group was (43.66±7.44)mL,which was less than (68.53±9.36)mL of the control group,the hospitalization time (7.57±1.86)d,pain disappearance time (15.57±3.23)d,and fracture healing time (46.46±7.53)d were all shorter than (12.25±2.48)d,(22.15±4.14)d,and (51.68±6.74)d of the control group,and the differences between the groups were statistically significant (P<0.05). Conclusion Compared to open reduction and internal fixation,arthroscopic assisted open reduction and internal fixation can effectively improve wrist joint function in unstable DRF patients,with minimal trauma and fast postoperative recovery.
Unstable distal radius fractureArthroscopic assisted open reduction and internal fixation surgeryWrist joint functionPerioperative related indicators
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