Comparison of effects of small incision reduction by leverage and external fixator and open reduction and plate internal fixation in treatment of patients with type C3 distal radius fractures
Objective:To compare effects of small incision reduction by leverage and external fixator and open reduction and plate internal fixation in treatment of patients with type C3 distal radius fractures.Methods:The clinical data of 80 patients with type C3 distal radius fractures admitted to this hospital from January 2022 to October 2023 were retrospectively analyzed.According to different surgical methods,they were divided into control group and observation group,40 cases in each group.The control group was treated with open reduction and plate internal fixation,while the observation group was treated with small incision reduction by leverage and external fixator.The clinical efficacy,the operation related indexes levels,the fracture reduction(radial height,palmar tilt angle and articular surface step height)before and 3 months after the surgery,the wrist range of motion(dorsal extension,palmar flexion,radial deviation and ulnar deviation angle)immediately and 3 months after the surgery,and the incidence of complications were compared between the two groups.Results:The excellent and good rate of the observation group was 95.00%(38/40),which was higher than 77.50%(31/40)of the control group,and the difference was statistically significant(P<0.05).The operation time,the fracture healing time and the hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).Three months after the surgery,the radial height,palmar inclination,wrist dorsiflexion,palmar flexion,radial deviation and ulnar deviation levels of the observation group were higher than those of the control group,the articular surface steps were smaller than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The excellent and good rate of small incision reduction by leverage and external fixator in the treatment of the patients with type C3 distal radius fractures is higher than that of open reduction and plate internal fixation.Further,it can shorten the operation time,the fracture healing time and the hospitalization time,reduce the amount of intraoperative blood loss,and improve the postoperative reduction effects and the wrist range of motion.
Distal radius fractureType C3 fractureComminuted fractureSmall incision reduction by leverageExternal fixatorOpen reduction and internal fixation
万方数据
维普
