The Efficacy of Internal Fixation for Ulnar Styloid Process Fractures on the Treatment Results of Distal Radius Fractures Combined with Ulnar Styloid Process Fractures
Objective:To investigate the therapeutic efficacy of internal fixation of the ulnar styloid process on patients with distal radius fractures combined with ulnar styloid process fractures.Methods:90 patients with distal radius fractures com-bined with ulnar styloid process fractures from January 2020 to January 2022 were analyzed retrospectively.They were divided into two groups based on whether they underwent ulnar styloid process Kirschner wire fixation surgery.Among them,49 patients received ulnar styloid process internal fixation treatment(group A)and 41 patients did not receive ulnar styloid process internal fixation treatment(group B).The wrist joint function and imaging results of the two groups of pa-tients were compared.Results:Statistics and analysis of clinical data from two groups of patients showed that the average fracture recovery time of group A patients was(11.88±1.28)weeks,while the average fracture recovery time of group B patients was(12.08±1.36)weeks,with no statistically significant difference(t=0.718,P=0.450).The excellent and good recovery rate of group A fracture patients was 95.92%,while the excellent and good recovery rate of group B patients was 92.68%,with no statistically significant difference(P>0.05).There was no statistically significant differ-ence in wrist joint imaging results between the two groups of patients(P>0.05).There was no statistically significant difference in upper limb activity,clinical symptoms,activity ability,and total disabilities of the arm,shoulder and hand(DASH)score between the two groups of patients(P>0.05).There was no statistically significant difference in the ima-ging examination results of the wrist joint between the healthy and affected sides of patients in group A and group B(P>0.05).Group A had 2 cases of ulnar rotation pain(2/49,4.08%),there were 5 cases of ulnar rotation pain in group B(5/41,12.20%),with no statistically significant difference(x2=1.193,P=0.275).Conclusion:When distal radius fracture combined with ulnar styloid process fracture,inter-nal fixation of ulnar styloid process fracture does not affect the healing and wrist function of patients with distal radius fracture.
ulnar styloid process fracturefractures of the distal radiuswrist functioninternal fixation