摘要
目的探讨手术治疗和早期康复干预对骨质疏松性桡骨远端不稳定骨折的临床疗效及功能影响。方法选取60例骨质疏松性桡骨远端不稳定骨折,将其随机分为康复组(30例)与对照组(30例),两组患者均通过手术治疗,手术方式有闭合复位微创克氏针交叉固定,有限切开复位内固定加外固定,切开复位钢板内固定加植骨。康复组患者术后早期介入规范、全程康复治疗,对照组则让其术后自行遵医嘱进行功能训练,采用Shea等评定法对患者进行疗效评定。结果60例经6～10个月随访,平均8个月,康复组患者腕关节功能,活动度优良率均明显优于对照组,差异具有统计学意义(P<0.05)。结论对骨质疏松性桡骨远端不稳定骨折应当手术治疗,术中尽可能解剖复位,术后早期进行康复治疗,可显著促进腕关节运动功能恢复。
Objective To investigate the effects of early rehabilitation training （ERT） on osteoporotic distal radius fractures （ODRF） after operation. Methods Sixty patients with ODRF were divided into a rehabilitation group （30 cases） and a control group （30 cases）. All patients were treated with operation, including closed reduction and minimally invasive percutaneous fixation with Kirschner wires, limited open reduction and internal fixation with screw and external fixation, open reduction and internal fixation with plate and bone grafting. The patients in the rehabilitation group were also treated with ERT as an addition. The therapeutic effects were assessed with the Shea assessment standard. Results All the sixty cases were followed up for 6-10 months （mean 8 months）. The therapeutic effects of the rehabilitation training group was much better than those of the control group （ P 〈 0.05 ）. Conclusion The therapeutic effects of ERT for ODRF patients after operation are stable.
出处
《中国骨与关节损伤杂志》
2008年第5期374-376,共3页
Chinese Journal of Bone and Joint Injury
关键词
桡骨
骨折
骨质疏松
手术
康复
Radius
Fracture
Operation
Rehabilitation training
Healing
