首页|钛板内固定与克氏针闭合复位外固定治疗桡骨远端骨折的效果比较

钛板内固定与克氏针闭合复位外固定治疗桡骨远端骨折的效果比较

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目的:研究钛板内固定与克氏针闭合复位外固定治疗桡骨远端骨折的效果,为桡骨远端骨折的治疗提供依据。方法:选取 2020 年 1 月—2022 年 1 月在沂南县人民医院诊断的 80 例桡骨远端骨折患者。根据治疗方式不同分为A组(克氏针闭合复位外固定治疗)、B组(钛板内固定治疗),各 40 例。比较两组手术时间、住院天数、骨折愈合时间、术后12 个月腕关节功能及骨折复位质量。结果:A组手术时间、住院天数、骨折愈合时间明显短于B组,差异有统计学意义(P<0。05)。两组腕关节功能优良率比较,差异无统计学意义(P>0。05)。A组的掌倾角、尺偏角明显大于B组,差异有统计学意义(P<0。05)。两组桡骨高度对比,差异无统计学意义(P>0。05)。结论:克氏针闭合复位外固定治疗桡骨远端骨折,可缩短手术时间、住院天数、愈合时间,且骨折复位质量更高。
Comparison of Therapeutic Effects between Titanium Plate Internal Fixation and Kirschner Wire Closed Reduction External Fixation for Distal Radius Fractures
Objective:To study the effect of titanium plate internal fixation and Kirschner wire closed reduction external fixation in the treatment of distal radius fractures,and to provide a basis for the treatment of distal radius fractures.Method:A total of 80 patients with distal radius fracture diagnosed in Yinan County People's Hospital from January 2020 to January 2022 were selected.They were divided into group A(Kirschner wire closed reduction external fixation)and group B(titanium plate internal fixation)according to different treatment methods,with 40 cases in each group.Operation time,hospital stay,fracture healing time,wrist joint function and fracture reduction quality at 12 months after operation were compared between the two groups.Result:The operation time,hospital stay and fracture healing time in group A were significantly shorter than those in group B,and the differences were statistically significant(P<0.05).There was no significant difference in the excellent and good rate of wrist joint function between the two groups(P>0.05).The palmar inclination angle and ulnar declination angle of group A were significantly higher than those of group B,and the differences were statistically significant(P<0.05).There was no significant difference in radius height between the two groups(P>0.05).Conclusion:In the treatment of distal radius fracture with Kirschner wire closed reduction external fixation,the operative time,hospital stay and healing time are shortened,and the reduction quality of fracture is higher.

Titanium plate internal fixationKirschner wire closed reduction external fixationDistal radius fracture

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沂南县人民医院 山东 沂南 276300

钛板内固定 克氏针闭合复位外固定 桡骨远端骨折

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(3)
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