[1]谢思春,刘 强.外固定支架与锁定加压钢板对桡骨远端复杂关节内骨折关节功能恢复的比较[J].医学信息,2021,34(24):96-98.[doi:10.3969/j.issn.1006-1959.2021.24.022]
　XIE Si-chun,LIU Qiang.Comparison of Joint Function Recovery Between External Fixator and Locking Compression Plate for Complex Intra-articular Fractures of Distal Radius[J].Medical Information,2021,34(24):96-98.[doi:10.3969/j.issn.1006-1959.2021.24.022]
点击复制

外固定支架与锁定加压钢板对桡骨远端复杂关节内骨折关节功能恢复的比较()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年24期
页码:
96-98
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
Comparison of Joint Function Recovery Between External Fixator and Locking Compression Plate for Complex Intra-articular Fractures of Distal Radius
文章编号:
1006-1959（2021）24-0096-03
作者:
谢思春; 刘 强
（南京张文新骨伤科医院骨科，江苏 南京 210030）
Author(s):
XIE Si-chun; LIU Qiang
(Department of Orthopedics,Nanjing Zhangwenxin Orthopedics Hospital,Nanjing 210030,Jiangsu,China)
关键词:
外固定支架; 锁定加压钢板; 桡骨远端复杂关节内骨折; 关节功能
Keywords:
External fixator; Locking compression plate; Complex intra-articular fractures of the distal radius; Joint function
分类号:
R683.41
DOI:
10.3969/j.issn.1006-1959.2021.24.022
文献标志码:
A
摘要:
目的 比较外固定支架与锁定加压钢板对桡骨远端复杂关节内骨折关节功能恢复的影响。方法 选取2020年6月-2021年6月在我院诊治的84例桡骨远端复杂关节内骨折患者为研究对象，随机分为对照组和观察组，各42例。对照组采用锁定加压钢板治疗，观察组采用外固定支架治疗，比较两组骨折愈合优良率、临床手术指标、桡骨缩短距离、腕关节Gartland-Werley评分、并发症发生率。结果 观察组骨折愈合优良率为95.24%，高于对照组的83.33%（P＜0.05）；观察组手术时间、术中出血量、愈合时间均短于对照组，桡骨缩短距离小于对照组（P＜0.05）；术后两组腕关节Gartland-Werley评分均低于术前，且观察组低于对照组（P＜0.05）；观察组并发症发生率为4.76%，低于对照组的16.67%（P＜0.05）。结论 外固定支架与锁定加压钢板治疗桡骨远端复杂关节内骨折均具有一定的效果，但是外固定支架治可提高治疗总有效率，缩短手术治疗，减少术中出血量，缩短愈合时间，减小桡骨缩短距离，提高腕关节功能评分，降低并发症发生率，对关节功能恢复具有显著的应用优势，值得临床加以应用。
Abstract:
Objective To compare the effect of external fixator and locking compression plate on joint function recovery of complex intra-articular fractures of distal radius.Methods A total of 84 patients with complex intra-articular fractures of distal radius treated in our hospital from June 2020 to June 2021 were randomly divided into control group and observation group, 42 cases in each group. The control group was treated with locking compression plate, and the observation group was treated with external fixator. The excellent and good rate of fracture healing, clinical operation indexes, radial shortening distance, Gartland-Werley score of wrist joint and incidence of complications were compared between the two groups.Results The excellent and good rate of fracture healing in the observation group was 95.24%, which was higher than 83.33% in the control group (P<0.05). The operation time, intraoperative blood loss and healing time of the observation group were shorter than those of the control group, and the radial shortening distance was less than that of the control group (P<0.05). The Gartland-Werley scores of wrist joints in the two groups after operation were lower than those before operation, and those in the observation group were lower than those in the control group (P<0.05). The incidence of complications in the observation group was 4.76%, which was lower than 16.67% in the control group (P<0.05).Conclusion Both external fixation and locking compression plate have certain effects in the treatment of complex intra-articular fractures of the distal radius. However, external fixation can improve the total effective rate of treatment, shorten the surgical treatment, reduce intraoperative blood loss, shorten the healing time, reduce the radius shortening distance, improve the wrist function score, and reduce the incidence of complications. It has significant application advantages in the recovery of joint function, and is worthy of clinical application.

参考文献/References:

[1]成文熠,沈其孝,刘康,等.不同方法治疗成人闭合型桡骨远端关节内骨折的临床研究[J].河北医药,2017,39(8):1209-1211.[2]淦科,周克中.胫骨远端内侧锁定钢板微创治疗胫腓骨中下段闭合性骨折临床疗效[J].西北国防医学杂志,2017,38(3):186-190.[3]霍仁斌,王强,陈鹏涛.桥接式动力型外固定支架结合克氏针固定治疗桡骨远端C型骨折的临床观察[J].齐齐哈尔医学院学报,2018,39(24):2860-2863.[4]韦新宁,韦仁智,黄小美,等.腕关节外固定支架联合断端植骨治疗桡骨远端C型骨折的疗效分析[J].中华骨与关节外科杂志,2019,12(2):122-125.[5]汪乾坤,黄方兴,吴丽华,等.克氏针结合外固定支架与锁定加压钢板对桡骨远端复杂关节内骨折关节功能恢复的比较[J].解放军预防医学杂志,2019,37(7):148-149.[6]赵东,刘志强,杨红波,等.外固定支架结合克氏针治疗老年桡骨远端骨折[J].临床医学研究与实践,2018,3(5):58-59.[7]李胜松,李绪松,梁武胜.闭合复位或小切口撬拨复位外固定支架结合克氏针固定微创治疗桡骨远端C3型骨折效果观察[J].中国实用医药,2018,13(16):14-15.[8]牛青松,贾学勤.外固定支架结合克氏针固定治疗桡骨远端不稳定性骨折[J].河南外科学杂志,2017,23(2):136-137.[9]陈虎.克氏针结合外固定支架与锁定加压钢板对桡骨远端复杂关节内骨折关节功能恢复比较[J].创伤外科杂志,2017,19(7):520-523.[10]唐华军,胡孔,刘建平,等.锁定加压钢板与单纯钢板螺钉内固定治疗四肢骨折比较[J].现代临床医学,2017,43(3):213-215.[11]王泉,刘斌,尚红涛.微创经皮钢板内固定联合锁定加压钢板治疗胫骨远端骨折的临床疗效[J].中国老年学杂志,2016,36(7):1671-1672.[12]蒙宇志,黄剑声,罗敏德.老年性桡骨远端骨折非手术治疗与手术治疗疗效比较[J].广西中医药大学学报,2018,21(3):30-32.[13]Bizzotto N,Tami I,Tami A,et al.3D Printed models of distal radius fractures[J].Injury,2016,47(4):976-978.[14]刘伟,朱蒙,唐弯弯,等.两种不同的复位固定方式治疗不稳定型桡骨远端骨折疗效及安全性对比[J].解放军医药杂志,2017,29(10):42-45.[15]张晓光,黄贺军,代鹏威,等.掌侧锁定加压接骨板联合克氏针内固定治疗桡骨远端C型骨折[J].中医正骨,2017,29(7):57-59.[16]]Michelle S,Darren R,Wayne N,et al.Distal radiusvolar rim plate: Technical and radiographic considerations[J].World Journal of Orthopedics,2017,8(7):567-573.[17]曹荣旗,倪力刚,龙隆,等.掌背侧双入路钢板内固定治疗复杂桡骨远端骨折[J].中国骨与关节损伤杂志,2019,34(5):530-531.[18]张鑫,李春光,樊健,等.老年桡骨远端C3型骨折掌侧钢板内固定术中植骨对预后的影响[J].实用骨科杂志,2018,24(10):934-937.[19]李兴旺,邱德伟,邹勇,等.锁定钢板联合外固定架与单纯锁定钢板治疗桡骨远端复杂关节内骨折的中期疗效比较[J].长江大学学报,2017,14(8):25-28.[20]李强,程毅,江共涛,等.掌侧入路锁定加压钢板治疗桡骨远端复杂关节内骨折的临床研究[J].江西医药,2020,55(2):146-150.

相似文献/References:

[1]刘 明.胫腓骨严重开放粉碎性骨折患者采用外固定支架固定结合VSD负压吸引技术治疗的效果分析[J].医学信息,2019,32(06):123.[doi:10.3969/j.issn.1006-1959.2019.06.038]
　LIU Ming.Analysis of the Effect of External Fixation Combined with VSD Vacuum Aspiration Technique in Patients with Severe Open Comminuted Fracture of Humerus[J].Medical Information,2019,32(24):123.[doi:10.3969/j.issn.1006-1959.2019.06.038]
[2]尹金旺,王晓桐.锁定加压钢板内固定治疗四肢骨折的疗效评价[J].医学信息,2019,32(19):102.[doi:10.3969/j.issn.1006-1959.2019.19.031]
　YIN Jin-wang,WANG Xiao-tong.Efficacy Evaluation of Locking Compression Plate Internal Fixation for the Treatment of Limb Fracture[J].Medical Information,2019,32(24):102.[doi:10.3969/j.issn.1006-1959.2019.19.031]

更新日期/Last Update: 1900-01-01