[1]雷 海,姚 强,牟遐平.锁定钢板与普通钢板内固定治疗复杂桡骨远端骨折的疗效比较[J].医学信息,2022,35(07):127-130.[doi:10.3969/j.issn.1006-1959.2022.07.032]
　LEI Hai,YAO Qiang,MU Xia-ping.Comparison of the Efficacy of Locking Plate and Common Plate Internal Fixation in the Treatment of Complex Distal Radius Fractures[J].Medical Information,2022,35(07):127-130.[doi:10.3969/j.issn.1006-1959.2022.07.032]
点击复制

锁定钢板与普通钢板内固定治疗复杂桡骨远端骨折的疗效比较()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年07期
页码:
127-130
栏目:
论著
出版日期:
2022-04-01

文章信息/Info

Title:
Comparison of the Efficacy of Locking Plate and Common Plate Internal Fixation in the Treatment of Complex Distal Radius Fractures
文章编号:
1006-1959（2022）07-0127-04
作者:
雷 海; 姚 强; 牟遐平
（1.简阳市人民医院骨科，四川 简阳 641400；2.什邡市人民医院骨科，四川 什邡 618400）
Author(s):
LEI Hai; YAO Qiang; MU Xia-ping
(1.Department of Orthopaedics,the People’s Hospital of Jianyang City,Jianyang 641400,Sichuan,China;2.Department of Orthopaedics,the People’s Hospital of Shifang City,Shifang 618400,Sichuan,China)
关键词:
桡骨骨折; 内固定; 腕关节功能
Keywords:
Distal radius fracture; Internal fixation; Wrist function
分类号:
R683.42
DOI:
10.3969/j.issn.1006-1959.2022.07.032
文献标志码:
A
摘要:
目的 比较锁定钢板内固定与普通钢板内固定治疗复杂桡骨远端骨折的临床疗效。方法 选取2017年5月-2021年1月简阳市人民医院收治的89例复杂桡骨远端骨折患者作为研究对象，根据内固定材料不同分为对照组43例与研究组46例。对照组采用经掌侧入路普通钢板内固定治疗，研究组采用经掌侧入路锁定钢板内固定治疗，比较两组手术相关指标、腕关节功能恢复效果、影像学参数及并发症发生情况。结果 两组手术时间、术中出血量及住院时间比较，差异无统计学意义（P＞0.05）；研究组骨折愈合时间短于对照组，差异有统计学意义（P＜0.05）；研究组腕关节功能恢复优良率为93.48%，高于对照组的81.40%，差异有统计学意义（P＜0.05）；研究组术后掌倾角、尺偏角、桡骨高度大于对照组，桡腕关节面平整度低于对照组，差异有统计学意义（P＜0.05）；研究组术后并发症发生率为8.70%，低于对照组的20.93%，差异有统计学意义（P＜0.05）。结论 锁定钢板内固定治疗复杂桡骨远端骨折较普通钢板内固定治疗的骨折愈合时间更短，更能改善腕关节功能和尺偏角、掌倾角以及桡骨远端高度，更能防止骨折复位丢失，且可降低并发症发生率，临床治疗效果更佳，功能恢复更好。
Abstract:
Objective To compare the clinical effects of locking plate internal fixation and common plate internal fixation in the treatment of complex distal radius fractures.Methods A total of 89 patients with complex distal radius fracture admitted to the People,s Hospital of Jianyang City from May 2017 to January 2021 were selected as the study subjects. According to different internal fixation materials, they were divided into control group（n=43）and study group（n=46）. The control group was treated with ordinary plate internal fixation through volar approach, while the research group was treated with locked plate internal fixation through volar approach. The operation-related indexes, wrist function recovery effect, imaging parameters and complications of the two groups were compared.Results There were no significant differences in operation time, intraoperative blood loss and hospital stay between the two groups (P>0.05); the fracture healing time in the study group was shorter than that in the control group, and the difference was statistically significant (P<0.05). The excellent and good rate of wrist function recovery in the study group was 93.48%, which was higher than 81.40% in the control group, and the difference was statistically significant (P<0.05). The palmaric angle, ulnar deflection angle and radius height in the study group were higher than those in the control group, and the radiocarpal articular plane flatness was lower than that in the control group, the difference was statistically significant (P<0.05). The incidence of postoperative complications in the study group was 8.70%, which was lower than 20.93% in the control group, and the difference was statistically significant (P<0.05).Conclusion The fracture healing time of locking plate fixation in the treatment of complex distal radius fractures is shorter than that of ordinary plate fixation, which can improve the wrist function, ulnar deviation angle, palm inclination angle and distal radius height, prevent the loss of fracture reduction, and reduce the incidence of complications. The clinical treatment effect is better, and the functional recovery is better.

参考文献/References:

[1]Levin LS,Rozell JC,Pulos N.Distal radius fractures in the elderly[J].J Am Acad Orthop Surg,2017,25(3):179-187.[2]夏丽平,杨德福,郁辉,等.掌侧锁定钢板联合背侧植骨治C3型桡骨远端骨折的疗效观察[J].骨科,2019,10(4):356-358.[3]Medlock G,Smith M,Johnstone AJ.Combined Volar and Dorsal Approach for Fixation of Comminuted Intra-Articular Distal Radial Fractures[J].J Wrist Surg,2017,7(3):219-226.[4]李家德,钟永翔,陈榆,等.外固定架结合克氏针有限固定与掌侧锁定板治疗桡骨远端粉碎骨折的疗效对比[J].中华手外科杂志,2018,34(3):185-188.[5]竺枫,薛建波,祝斌,等.背侧中柱微型钢板联合掌侧锁定钢板内固定治疗桡骨远端中柱区粉碎性骨折[J].中国骨与关节损伤杂志,2019,34(3):258-261.[6]Christersson A,Larsson S,Sandén B.Clinical outcome after plaster cast fixation for 10 days versus 1 month in reduced distal radius fractures: a prospective randomized study[J].Scand J Surg,2018,107(5):82-90.[7]Zengin EC,Ozcan C,Aslan C,et al.Cast immobilization versus volar locking plate fixation of AO type C distal radial fractures in patients aged 60 years and older[J].Acta Orthop Traumatol Turc,2019,53(1):15-18.[8]Gay AM,Samson P,Legré R.Fractures articulaires complètes de l’extrémité distale du radius chez le sujet jeune actif[J].Hand Surg Rehabil,2016(35 Supplement):S51-S54.[9]Burnier M,Le Chatelier Riquier M,Herzberg G.Treatment of intra-articular fracture of distal radius fractures with fluoroscopic only or combined with arthroscopic control: A prospective tomodensitometric comparative study of 40 patients[J].Orthop Traumatol Surg Res,2018,104(1):89-93. [10]Calbiyik M,Ipek D.Use of Different Methods of Intramedullary Nailing for Fixation of Distal Radius Fractures: A Retrospective Analysis of Clinical and Radiological Outcomes[J].Med Sci Monit,2018(24):377-386.[11]Wong RMY,Ho WT,Wai LS,et al.Fragility fractures and imminent fracture risk in Hong Kong: one of the cities with longest life expectancies[J].Arch Osteoporos,2019(14):104.[12]Xu W,Ni C,Yu R,et al.Risk factors for distal radius fracture in postmenopausal women[J].Der Orthopade,2017,46(5):447-450.[13]Hu ZJ,Li M,Liu X,et al.Palmar approach with Kirschner-wire fixation in the treatment of children’s distal radius extension type fracture[J].Chin J Traumatol,2018,21(5):301-303.[14]金峥,张云庆,周枫,等.万向锁定掌侧钢板与普通锁定钢板内固定治疗AO-C型桡骨远端骨折的疗效比较[J].中国骨与关节损伤杂志,2018,33(11):1220-1221.[15]Shah GM,Gong HS,Chae YJ,et al.Evaluation and Management of Osteoporosis and Sarcopenia in Patients with Distal Radius Fractures[J].Clinics in Orthopedic Surgery,2020,12(1):9-21.[16]Gouk C,Ng SK,Knight M,et al.Long term outcomes of open reduction internal fixation versus external fixation of distal radius fractures: A meta-analysis[J].Orthop Rev (Pavia),2019,11(3):7809.[17]Martinez-Mendez D,Lizaur-Utrilla A,de Juan-Herrero J.Prospective study of comminuted articular distal radius fractures stabilized by volar plating in the elderly[J].Int Orthop,2018(42):2243-2248.[18]Omokawa S,Abe Y,Imatani J,et al.Treatment of Intra-articular Distal Radius Fractures[J].Hand Clin,2017,33(3):529-543.[19]Rhee PC,Medoff RJ,Shin AY.Complex distal radius fractures: an an-atomic algorithm for surgical management[J].J Am Acad Orthop Surg,2017(25):77-88.[20]Kanazawa T,Tomita K,Kawasaki K,et al.Comparison of locking and frag-loc screws for fixation of die-punch fragments[J].J Wrist Surg,2018,7(3):205-210.

相似文献/References:

[1]何丽波,刘勇,彭超.高原地区有限切开复位内固定治疗胫腓骨骨折疗效分析[J].医学信息,2018,31(01):8.[doi:10.3969/j.issn.1006-1959.2018.01.003]
　HE Li-bi,LIU Yong,PENG Chao.Treatment of Tibiofibular Fractures by Limited Open Incison and Internal Fixation inPlateau[J].Medical Information,2018,31(07):8.[doi:10.3969/j.issn.1006-1959.2018.01.003]
[2]刘嵬,张英剑.跟骨骨折早期内固定治疗研究[J].医学信息,2018,31(01):13.[doi:10.3969/j.issn.1006-1959.2018.01.005]
　LIU Wei,ZHANG Ying-jian.Study on Early Internal Fixation of Calcaneal Fracture[J].Medical Information,2018,31(07):13.[doi:10.3969/j.issn.1006-1959.2018.01.005]
[3]魏屹东,季明华,张震,等.前置钢板治疗锁骨中段骨折的疗效分析[J].医学信息,2018,31(01):19.[doi:10.3969/j.issn.1006-1959.2018.01.007]
　WEI Yi-dong,JI Ming-hua,ZHANG Zhen,et al.Therapeutic Effect of Anterior Plate in Treating Middle Clavicular Fracture[J].Medical Information,2018,31(07):19.[doi:10.3969/j.issn.1006-1959.2018.01.007]
[4]覃先云,朱灏,毛志有,等.弹性髓内钉内固定并植骨治疗桡骨骨不连的临床疗效观察[J].医学信息,2018,31(01):23.[doi:10.3969/j.issn.1006-1959.2018.01.009]
　QIN Xian-yun,ZHU Hao,MAO Zhi-you,et al.Clinical Observation of Elastic Intramedullary Nailing and Bone Graft in the Treatment ofRadial Nonunion[J].Medical Information,2018,31(07):23.[doi:10.3969/j.issn.1006-1959.2018.01.009]
[5]白建忠,匡核下,熊李,等.旋后外旋型郁度踝关节骨折合并三角韧带断裂的手术治疗[J].医学信息,2018,31(01):184.[doi:10.3969/j.issn.1006-1959.2018.01.074]
　BAI Jian-zhong,KUANG He-xia,XIONG Li,et al.Surgical Treatment of 郁Degree Ankle Joint Fracture Combined with the Rupture of the Ligamentum[J].Medical Information,2018,31(07):184.[doi:10.3969/j.issn.1006-1959.2018.01.074]
[6]杨建水.Nice结在锁骨骨折中的应用[J].医学信息,2018,31(06):185.[doi:10.3969/j.issn.1006-1959.2018.06.067]
　YANG Jian-shui.The Application of Nice Knot in Clavicle Fracture[J].Medical Information,2018,31(07):185.[doi:10.3969/j.issn.1006-1959.2018.06.067]
[7]陈 涵,李 明.新鲜BadoⅣ型孟氏骨折的治疗与远期随访[J].医学信息,2018,31(09):182.[doi:10.3969/j.issn.1006-1959.2018.09.061]
　CHEN Han,LI Ming.Treatment and Long Term Follow-up of Fresh Bado Type Ⅳ Monteggia Fracture[J].Medical Information,2018,31(07):182.[doi:10.3969/j.issn.1006-1959.2018.09.061]
[8]吴志忠,李生国,王 玺,等.PFLP与PFNA内固定治疗老年股骨粗隆间骨折疗效分析[J].医学信息,2018,31(15):82.[doi:10.3969/j.issn.1006-1959.2018.15.025]
　WU Zhi-zhong,LI Sheng-guo,WANG Xi,et al.PFLP and PFNA Internal Fixation for the Treatment of Intertrochanteric Fractures in the Elderly[J].Medical Information,2018,31(07):82.[doi:10.3969/j.issn.1006-1959.2018.15.025]
[9]宋国涛.锁定钛板联合植骨手术治疗股骨远端粉碎性骨折的临床研究[J].医学信息,2019,32(03):123.[doi:10.3969/j.issn.1006-1959.2019.03.039]
　SONG Guo-tao.Clinical Study of Locking Titanium Plate Combined with Bone Grafting for the Treatment of Comminuted Fracture of the Distal Femur[J].Medical Information,2019,32(07):123.[doi:10.3969/j.issn.1006-1959.2019.03.039]
[10]龙 雨.股骨颈骨折的内固定手术治疗研究[J].医学信息,2019,32(15):42.[doi:10.3969/j.issn.1006-1959.2019.15.014]
　LONG Yu.Research on Internal Fixation Surgery for Femoral Neck Fracture[J].Medical Information,2019,32(07):42.[doi:10.3969/j.issn.1006-1959.2019.15.014]

更新日期/Last Update: 1900-01-01