摘要
目的探讨锁定加压钢板(LCP)内固定治疗桡骨远端AO分型C型骨折患者的临床效果。方法选取2011年7月至2012年12月收治的52例桡骨远端AO分型C型骨折患者作为观察对象,其中采用LCP内固定治疗27例(内固定组)、采用外固定支架治疗25例(外固定组)。通过术后随访,对比分析两组患者的临床治疗效果。结果两组患者术后3个月、6个月及末次随访时的掌倾角、尺偏角测定值差异无统计学意义(P>0.05)。内固定组患者术后6个月Gartland-Werley评分(4.12±1.41)分显著低于外固定组评分(5.06±1.57)分,差异有统计学意义(P<0.05),末次随访两组患者的Gartland-Werley评分差异无统计学意义(P>0.05)。内固定组患者术后末次随访的腕关节功能优良率(100%)高于外固定组优良率(92%),但差异无统计学意义(P>0.05)。结论 LCP内固定治疗桡骨远端AO分型C型骨折与外固定支架效果相当,但其对早期腕关节功能恢复更有优势。
Objective To explore the use of locking compression plate( LCP) AO clinical effect in patients with type C fractures internal fixation of the distal radius. Methods Selected orthopedic hospital 52 cases of distal radius AO C patients with type fracture from July2011 to December 2012 were treated as the observed object,which fixed 27 cases( internal fixation) of LCP implemented using external fixation treatment of 25 cases( external fixation group),52 patients were followed up for clinical treatment effect difference compared two groups of patients. Results Two groups of patients with postoperative 3 months,6 months postoperatively,and at the last follow-up palm inclination Angle,feet there was no statistically significant difference measurements( P > 0. 05). Postoperative fixation group six months Gartland-Werley score( 4. 12 ± 1. 41) points were significantly lower than external fixation group( 5. 06 ± 1. 57) points( P < 0. 05),the end of the followup of two groups of patients showed no Gartland-Werley score statistically significant( P > 0. 05). Postoperative follow-up at the end of a fixed group of excellent wrist function 100% higher than 92% of the external fixation group,but the difference was not statistically significant( P> 0. 05). Conclusion LCP internal fixation of distal radius AO type C fractures with external fixator quite effective,but it has the early advantage wrist function recovery.
出处
《安徽医学》
2015年第11期1368-1371,共4页
Anhui Medical Journal
关键词
锁定加压钢板
内固定
桡骨远端AO分型
C型骨折
Locking compression plate
Internal fixation
Distal radius AO classification
C-type fracture
