首页|锁定钢板内固定治疗桡骨远端骨折的疗效

锁定钢板内固定治疗桡骨远端骨折的疗效

The efficacy of locking plate internal fixation for treatment of distal radius fracture

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目的 探讨锁定钢板内固定治疗桡骨远端骨折的疗效.方法 采用锁定钢板内固定治疗16 例桡骨远端骨折患者.记录手术情况、骨折愈合及术后并发症发生情况、腕关节活动度,采用Gartland-Werley评分标准评价腕关节功能.结果 手术时间30~50(42.8±6.7)min,术中出血量 10~30(17.6±7.4)ml,住院时间3~6(4.5±1.2)d.患者均获得随访,时间12~15(13.2±0.9)个月.骨痂形成时间1~3 个月,骨折愈合时间4~6 个月.术后均无感染、骨不连、内固定松动、腕管综合征、正中神经炎等并发症发生.术后 6 个月,腕关节活动度:掌屈30°~45°(38.8°±5.2°),背伸 35°~45°(40.5°±4.1°),桡偏 10°~25°(15.3°±2.8°),尺偏10°~20°(15.7°±3.2°);采用Gartland-Werley评分标准评价髋关节功能:优 12 例,良 2 例,可 1 例,差 1例,优良率14/16.结论 采用锁定钢板内固定治疗桡骨远端骨折,骨折固定牢靠,术后并发症少,能够显著恢复腕关节功能.
Objective To investigate the effect of locking plate in the treatment of distal radius fracture.Methods The 16 cases of distal radius fractures were treated with locking plate.The operation status,fracture healing,postopera-tive complications and wrist motion range were recorded.Gartland-Werley score criterion was used to evaluate wrist function.Results The operation time was 30~50(42.8±6.7)min,the intraoperative blood loss was 10~30(17.6±7.4)ml,and the hospitalization time was 3~6(4.5±1.2)d.All patients were followed up for 12~15(13.2±0.9)months.The time of callus formation was 1~3 months,and healing time was 4~6 months.There were no complications such as infection,nonunion,internal fixation loosening,carpal tunnel syndrome and median neuritis.At 6 months postoperation,wrist motion:palmar flexion was 30°~45°(38.8°±5.2°),dorsiflexion was 35°~45°(40.5°±4.1°),radial declination was 10°~25°(15.3°±2.8°),ulnar declination was 10°~20°(15.7°±3.2°).The wrist function assessed with Gartland-Werley score criterion:excellent in 12 cases,good in 2,fair in 1,poor in 1,the excellent-good rate was 14/16.Conclusions The use of locking plate in the treatment of distal radius fracture can significantly restore the wrist function,with reliable fixation,and fewer complications.

distal radius fractureslocking plate internal fixation

王剑波、景孟军

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慈溪市第三人民医院医疗健康集团骨二科,浙江 慈溪 315324

桡骨远端骨折 锁定钢板内固定

2024

临床骨科杂志
安徽医科大学,安徽省医学会

临床骨科杂志

CSTPCD
影响因子:1.438
ISSN:1008-0287
年,卷(期):2024.27(2)
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