摘要
目的对小夹板和外固定支架治疗骨质疏松性桡骨远端骨折的治疗效果进行回顾性分析,客观评价2种治疗方法的疗效。方法收集南京中医药大学附属医院2009-2010年90例骨质疏松性桡骨远端骨折的临床资料,运用Jakim评分系统对2种治疗方法进行腕关节功能评价,评价内容主要包括主观指标、客观指标和影像学评分。结果主观指标评分、客观指标评分及放射学总的评分,小夹板组与外固定支架组的数据差异无统计学意义,但影像学指标中掌倾角丢失度数和桡骨短缩长度2组数据差异有统计学意义,(P<0.05)。结论小夹板和外固定支架固定治疗骨质疏松性桡骨远端骨折的治疗效果相当,都能取得较好的临床疗效,在掌倾角的恢复方面,小夹板组优于外固定支架组;维持桡骨长度方面支架组优于小夹板组。
OBJECTIVE To conduct retrospective analysis of therapeutic effects osteoporotic on the fractures of distal radius treated by small splint and external fixator so as to subjectively evaluate their efficacies.METHODS 90 clinical cases were osteoporotic fractures of distal radius coming from Jiangsu Province Hospital of TCM from 2009 to 2010.Functions of wrist joint were evaluated by Jakim Scores System covering subjective indexes,objective indexes and imaging scores.RESULTS The results indicated that statistically significant differences were observed between two approaches with respect to the loss of palmar tilt degrees and the length of radial shortening.No differences with regard to subjective indexes,objective indexes and imaging scores were noted.CONCLUSION Both small splint fixation and external fixator have effective treatments for osteoporotic fractures of distal radius,and the clinical results of two approaches are good.Compared with external fixator,small splint fixation is better due to less palmar tilt degrees loss,but external fixator is better due to radial length maintenance.
出处
《南京中医药大学学报》
CAS
CSCD
北大核心
2011年第5期434-436,共3页
Journal of Nanjing University of Traditional Chinese Medicine
基金
江苏省高校自然科学基金(09KJB360002)
关键词
桡骨远端骨折
骨质疏松
小夹板
外固定支架
fractures of distal radius
osteoporosis
small splint
external fixator
