摘要
目的探讨应用掌侧入路斜T钢板结合克氏针技术治疗桡骨远端骨折的方法及临床疗效。方法选取2009年6月至2010年6月桡骨远端骨折患者41例,男23例,女18例,年龄40～63岁,平均年龄51岁。采用掌侧入路结合桡骨远端背侧克氏针技术斜T板内固定手术进行治疗。采用影像学再次改良Stewart-Sarmiento评分和Fernandez评分标准进行腕关节功能评分。结果所有患者均获得随访,平均随访12个月,影像学指标手术前后有显著统计学差异(P<0.05);腕关节功能指标术后优良率为90.24%。结论采用斜T钢板结合克氏针技术能有效固定桡骨远端骨折,使得患者获得较好的解剖复位,最大限度的保护患者腕部的运动功能。
Objective The purpose of this study is to evaluate the effect of volar declining T-shaped plate internal fixation combined with Kirschner-wire technique in the treatment of distal fracture of radius. Methods This study included 41 patients with distal radial fracture, 23 males and 18 females, aged 40-63 （ mean 51 ） years, treated by volar declining T-shaped plate internal fixa- tion combined with Kirschner-wire technique. The effects were evaluated by the remodified Steward-Sarmiento scoring and Fernandez grading systems for the wrist function. Results All the patients were followed up for an average of 12 months. The postoperative and follow-up imaging parameters were significantly different from the preoperative ones （ P 〈 0.05 ）, and the patients were satisfied with their wrist function after surgery. Conclusion Volar declining T-shaped plate internal fixation combined with Kirsehner-wire tech- nique is safe and effective for the treatment of distal radial fracture, which can achieve anatomical reattachment and protect the wrist function of the patient.
出处
《医学研究生学报》
CAS
北大核心
2012年第2期152-154,共3页
Journal of Medical Postgraduates
基金
全军"十一五"重点课题基金(06G043)
关键词
斜T钢板
克氏针
桡骨远端骨折
Declining T-shaped plate
Kirschner-wire
Distal fracture of radius
