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1、912JBengbuMedColl,July2014,Vo1.39,No.7[文章編號]1000—2200(2014)07-0912-03·I~P.k醫(yī)學·鎖定加壓鋼板與外固定架治療C型橈骨遠端骨折療效比較黃迅[摘要]目的:探討鎖定加壓鋼板內固定治療C型橈骨遠端骨折的臨床療效。方法:橈骨遠端骨折32例中,采用切開復位LCP鋼板內固定治療l4例(鋼板組);閉合復位外固定架治療18例(支架組),其中4例閉合復位后關節(jié)面不平整,予以小切口撬撥克氏針固定,術后8~10周根據骨折愈合情況拆除外固定支架活動腕關節(jié)。結果:32例均獲隨訪,隨訪時間8—24
2、個月。2組患者在掌傾角和尺偏角差異均無統計學意義(P>0.05)。3個月隨訪時鋼板組腕關節(jié)掌曲、背伸及Gartland.Werley功能評分與支架組差異均有統計學意義(P<0.O1),6個月隨訪時,差異均無統計學意義(P>0.05)。結論:鋼板內固定對早期恢復腕關節(jié)活動度方面優(yōu)于外固定架,但長期臨床療效兩者無差異,C型橈骨遠端不穩(wěn)定骨折應根據具體的情況選擇合適的固定方式。[關鍵詞]橈骨骨折;骨折內固定;鋼板[中國圖書資料分類法分類號]R683.41[文獻標志碼]ATheefectcomparisonoflockingcompressionp
3、lateandexternalfixatorinthetreatmentOftvpeCdistalradiusfractureHUANGXun(DepartmentofOrthopedics,TheGeneralHospitalofTheThirdConstructionCompanyofChinaCoal,ShuzhouAnhui234000,China)[Abstract]Objective:Toexploretheclinicalefectsoflockingcompressionplate(LCP)inthetreatmentoft
4、ypeCdistalradiusfracture.Methods:Thirty—twopatientsweretreatedwithopenreductionusingLCP(steelgroup,14cases)andclosedreductionexternalfixation(stentgroup,18cases),respectively.FourpatientsinstentgroupwithunevenarticularsurfaceafterclosedreductionweretreatedwithKuntscherpinf
5、ixationundersmallincisionprying.Theexternalfixatorwasremovedat8to10weeksafteroperationaccordingtothefracturehealing,andthefunctionofwristjointwasexercised.Results:Allcaseswerefollowedupfor8to24months.Thepalmdipangle,ulnarinclinationanglebetweentwogroupswerenotstatistically
6、sigificant(P>0.05).Thedifferencesoftheflexionandbackstretchdegreeofwristjiont,andGartland—Werleyfunctionalscorebetweentwogroupswerestatisticallysigifieantafterfollowingup3months(P<0.01),buttherewasnostatisticalsignificanceafter6months(P>0.05).Conclusions:Steelplateintemalf
7、ixationforearlyrecoveringwristactivityisbetterthanthatofexternalfixator,buttheirlong—termcurativeeffectsaresimilar.TheselectingsuitableoperationfortreatingtypeCdistalradius~acturesshouldbeaccordingtothespecificsituation.[Keywords]radialfracture;fracturefixation;volarplate橈
8、骨遠端骨折是最常見的骨折之一,約占全身決所有類型橈骨遠端骨折的局面。但是,目前對于骨折的1/6‘1j,其中關節(jié)內骨折約占1/4。橈骨遠端選擇內固定或外固定架有著較多爭議。2008