锁定加压钢板与外固定架治疗C型桡骨远端骨折疗效比较

    The effect comparison of locking compression plate and external fixator in the treatment of type C distal radius fracture

    • 摘要: 目的:探讨锁定加压钢板内固定治疗C型桡骨远端骨折的临床疗效。方法:桡骨远端骨折32例中,采用切开复位LCP钢板内固定治疗14例(钢板组);闭合复位外固定架治疗18例(支架组),其中4例闭合复位后关节面不平整,予以小切口撬拨克氏针固定,术后8~10周根据骨折愈合情况拆除外固定支架活动腕关节。结果:32例均获随访,随访时间8~24个月。2组患者在掌倾角和尺偏角差异均无统计学意义(P>0.05)。3个月随访时钢板组腕关节掌曲、背伸及Gartland-Werley功能评分与支架组差异均有统计学意义(P<0.01),6个月随访时,差异均无统计学意义(P>0.05)。结论:钢板内固定对早期恢复腕关节活动度方面优于外固定架,但长期临床疗效两者无差异,C型桡骨远端不稳定骨折应根据具体的情况选择合适的固定方式。

       

      Abstract: Objective: To explore the clinical effects of locking compression plate(LCP) in the treatment of type C distal radius fracture.Methods: Thirty-two patients were treated with open reduction using LCP(steel group,14 cases) and closed reduction external fixation(stent group,18 cases),respectively.Four patients in stent group with uneven articular surface after closed reduction were treated with Kuntscher pin fixation under small incision prying.The external fixator was removed at 8 to 10 weeks after operation according to the fracture healing,and the function of wrist joint was exercised.Results: All cases were followed up for 8 to 24 months.The palm dip angle,ulnar inclination angle between two groups were not statistically sigificant(P>0.05).The differences of the flexion and back stretch degree of wrist jiont,and Gartland-Werley functional score between two groups were statistically sigificant after following up 3 months(P<0.01),but there was no statistical significance after 6 months(P>0.05).Conclusions: Steel plate internal fixation for early recovering wrist activity is better than that of external fixator,but their long-term curative effects are similar.The selecting suitable operation for treating type C distal radius fractures should be according to the specific situation.

       

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