摘要
目的通过对比分析方法,判断三种不同的方法治疗老年桡骨远端粉碎性骨折的疗效。方法150例65岁以上老年桡骨远端粉碎性骨折,88例行手法复位石膏外固定,26例行闭合复位外固定架加硫酸钙骨粉注射植骨固定,36例行切开复位背侧斜T型钢板内固定,随访比较不同治疗方法的疗效。结果所有病例均得到8～26个月随访,平均15个月,骨折全部愈合。按Anderson功能评价标准进行评定,石膏外固定组功能优良率为76.1%,外固定架固定组为92.3%,斜T型钢板内固定组为80.6%。外固定架固定组疗效明显优于其他两组病例,差异有显著性意义(P<0.01)。结论闭合复位外固定架加硫酸钙骨粉注射植骨固定能提供有效的固定,操作简单,创伤小,是值得推荐的治疗老年桡骨远端粉碎性骨折的有效方法。
Objective To compare the clinical results of the operations, the manual reduction and the plaster immobilization in management of unstable comminuted fractures of distal radia. Methods Retrospective analysis of the clinical data was done for the 150 patients with unstable comminuted fracture of distal radia who were treated from January 2003 to February 2006 in our department. Eighty - eight patients were treated with manual reduction and plaster immobilization, 26 with external fixator combined with minimall invasive injectable graft, and 36 with T- plate internal fixation. Results Averaged follow- up was 15 months （8 to 26 months）. According to the Anderson criteria, the excellent rate of functional outcome was 92.3 % for external fixator, 76.1% for plaster immohilization and 80.6% for T- plate fixation. The differences were statistically significant （P〈0.01）. Conclusion In treatment of unstable comminuted fractures of distal radius, the external fixator combined with minimally invasive injectable graft can produce more satisfactory effects than the others
出处
《中国骨与关节损伤杂志》
2007年第12期981-983,共3页
Chinese Journal of Bone and Joint Injury
关键词
桡骨远端骨折
内固定
外固定架
植骨
Distal radius fracture
Internal fixation
External fixator
Bone grafting
