首页|掌侧万向锁定接骨钢板与外固定夹板治疗桡骨远端骨折的对比研究

掌侧万向锁定接骨钢板与外固定夹板治疗桡骨远端骨折的对比研究

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目的:探讨掌侧万向锁定接骨钢板与外固定夹板治疗桡骨远端骨折对骨折部位关节功能的影响及安全性.方法:选取 2020 年 1 月-2023 年 1 月本院收治的 80 例桡骨远端骨折的患者,根据手术方法的不同,将其分为观察组和对照组,观察组(n=42)使用掌侧万向锁定接骨钢板治疗,对照组(n=38)使用外固定夹板治疗,观察并比较两组骨折线消失、骨痂出现时间,术前、术后 4 w、术后 8 w腕关节尺偏角、掌倾角,腕关节活动度(屈伸度、旋转度、内收外展活动度)以及并发症发生情况.结果:观察组骨痂出现时间、骨折线消失时间均早于对照组(P<0.05);两组术后 3 m腕关节尺偏角、掌倾角均优于术前(P<0.05);两组术后 3 m腕关节尺屈伸度、旋转度、内收外展活动度均优于术前,且观察组术后 3 m腕关节屈伸度、旋转度、内收外展活动度优于对照组(P<0.05).结论:与外固定夹板相比,桡骨远端骨折患者选择掌侧万向锁定接骨钢板治疗,在改善患者腕关节,缩短骨折线消失、骨痂出现时间方面优势更佳.
Comparative study of volar universal locking plate and external fixation splint in the treatment of distal radius fracture
Objective:To investigate the effect and safety of palmar universal locking plate and external fixation splint on joint function of distal radius fracture.How:Eighty patients with distal radius fracture admitted to our hospital from January 2020 to January 2023 were selected and divided into observation group and control group according to different surgical methods.The observation group(n=42)was treated with palmar universal locking bone plate,while the control group(n=38)was treated with external fixation splint.The time of fracture line disappearance and callus occurrence in the two groups was observed and compared.Preoperative,postoperative 4w,postoperative 8w wrist ulnar declination Angle,palm inclination Angle,wrist motion(flexion and extension,rotation,adduction and abduction motion)and complications.Results:The occurrence time of callus and the disappearance time of fracture line in observation group were earlier than those in control group(P<0.05).The ulnar declination and palmar Angle of wrist joint in both groups were better than those before surgery 3 months after operation(P<0.05).The flexion and extension,rotation and adduction and abduction motion of wrist in both groups were better than those before surgery 3 months after surgery,and the flexion and extension,rotation and adduction and abduction motion of wrist in the observation group were better than those in the control group 3 months after surgery(P<0.05).Conclusion:Compared with external fixation splint,the choice of palmar universal locking plate for distal radius fracture is better in improving the wrist joint,shortening the time of fracture line disappearance and callus appearance.

Distal radius fractureVolar universal locking plateExternal fixation splint

肖芳繁、胡婷、林星良

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赣南医学院第二附属医院骨科,江西 赣州 341600

赣南医学院第二附属医院手术室,江西 赣州 341600

桡骨远端骨折 掌侧万向锁定接骨钢板 外固定夹板

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(2)
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