Effect of Open Reduction and Internal Fixation on Postoperative Recovery and Bone Metabolism of Patients with Distal Radius Fracture
Objective To explore the clinical outcomes of open reduction and internal fixation in the treatment of distal radius fractures. Methods A total of 86 patients with distal radius fractures were selected and divided into an observation group (n=44) and a control group (n=42) based on the treatment plan. The observation group received open re-duction and internal fixation,while the control group was treated with an external fixation brace. Surgical duration,fracture healing time,Mayo wrist function scores,wrist joint mobility,palmar tilt angle,and ulnar deviation angle were evaluated. Additionally,serum levels of osteoprotegerin (OPG),osteocalcin (BGP),alkaline phosphatase (ALP),and type I collagen carboxy-terminal peptide (PICP) were measured. Results The operation time for the observation group was significantly longer than the control group (P<0.05). Three months post-surgery,both groups showed significant increases in Mayo wrist function scores,ALP,OPG,BGP,and PICP compared to pre-surgery levels (P<0.05). The observation group's Mayo wrist function score at three months post-surgery was significantly higher than the control group (P<0.05). Additionally,the ob-servation group's palmar tilt angle and ulnar deviation angle at three months post-surgery were significantly higher than the control group (P<0.05). The incidence of complications between the two groups showed no statistically significant difference (P>0.05). Conclusion Open reduction and internal fixation for the treatment of distal radius fracture has a good effect,which is helpful for the recovery of wrist joint function and the improvement of bone metabolism.
Distal radius fractureOpen reduction and internal fixationBone metabolismClinical effect
万方数据
维普
