摘要
目的探讨万向锁定掌侧钢板内固定对桡骨远端骨折患者术后康复及预后的影响。方法选择2016年2月-2019年8月收治的桡骨远端骨折患者60例,按随机数字表法分为两组,各30例。观察组使用万向锁定掌侧钢板内固定治疗,对照组使用普通钢板内固定治疗。比较两组桡骨远端高度、尺偏角、掌倾角、骨痂出现时间,骨折线消失时间,腕关节功能及并发症发生率。结果观察组术后3个月桡骨远端高度、尺偏角、掌倾角略高于对照组,差异无统计学意义(P>0.05);观察组骨痂出现时间,骨折线消失时间分别为(7.18±1.09)周、(16.17±1.58)周,短于对照组的(8.35±1.42)周、(18.12±1.43)周,差异有统计学意义(P<0.05);观察组腕关节优良率为93.33%,略高于对照组的83.33%,差异无统计学意义(P>0.05);与对照组相比,观察组术后并发症总发生率较低,差异有统计学意义(P<0.05)。结论万向锁定掌侧钢板内固定治疗桡骨远端骨折与普通钢板相比,可避免骨折复位丢失,缩短骨痂出现时间、骨折线消失时间,减少并发症发生,促进腕关节功能恢复。
Objective To investigate the effect of internal fixation with universal locking volar plate on postoperative rehabilitation and prognosis of patients with distal radius fracture.Methods From February2016 to August 2019,60 patients with distal radius fracture were selected and divided into two groups,30 in each group.The study group was treated by internal fixation with universal locking volar plate,while the control group was treated by internal fixation with ordinary plate.The height of distal radius,ulnar angle,palm angle,callus appearance time,fracture line disappearance time,wrist joint function and complication rate were compared between the two groups.Results The height of distal radius,ulnar deviation angle and palmar inclination angle in the study group were slightly higher than those in the control group at the 3 rd month postoperatively,with no significant difference(P>0.05);the time of callus appearance and fracture line disappearance in the study group were(7.18±1.09)weeks,(16.17±1.58)weeks,shorter than those in the control group(8.35±1.42)weeks,(18.12±1.43)weeks,with significant difference(P<0.05);and the excellent and good rate of wrist joint in group A was 93.33%.Compared with the control group,the total incidence of postoperative complications in the study group was lower,the difference was statistically significant(P<0.05).Conclusion Compared with common plate,the internal fixation with universal locking volar plate can avoid the loss of fracture reduction,shorten the time of callus appearance and fracture line disappearance,reduce the occurrence of complications and promote the recovery of patient’s condition.
作者
温洪鹏
韩成龙
黄科
钟燕
WEN Hongpeng;HAN Chenglong;HUANG Ke(Department of Orthopedics,Lianjiang People's Hospital,Lianjiang,Guangdong,524400,China)
出处
《实用手外科杂志》
2020年第3期323-326,共4页
Journal of Practical Hand Surgery
