摘要
目的探讨自制夹板旋后位固定治疗伸直型桡骨远端骨折伴下尺桡关节损伤的临床效果。方法选取2016年5月—2019年5月广州市中西医结合医院收治的64例伸直型桡骨远端骨折伴下尺桡关节损伤患者作为研究对象,根据随机数字表法将其分为石膏组与夹板组,每组各32例。石膏组患者给予长臂石膏旋后位固定,夹板组患者给予自制夹板旋后位固定。比较两组患者的骨折愈合时间、并发症总发生率、Garland-Werley腕关节评分及下尺桡关节不稳发生率。结果两组患者的骨折愈合时间、Garland-Werley腕关节评分优良率比较,差异无统计学意义(P>0.05)。夹板组患者的并发症总发生率低于石膏组,差异有统计学意义(P<0.05)。夹板组患者的下尺桡关节不稳发生率低于石膏组,差异有统计学意义(P<0.05)。结论采用自制夹板旋后位固定更利于维持下尺桡关节的稳定,具有操作简单、并发症少、临床疗效满意等优点,值得临床推广。
Objective To investigate the clinical effect of self-made splint fixation in supination position in the treatment of extended distal radius fracture with distal radioulnar joint injury.Methods A total of 64 patients with extended distal radius fracture with distal radioulnar joint injury admitted to Guangzhou Integrated Traditional Chinese and Western Medicine Hospital from May 2016 to May 2019 were selected as the research objects,and they were divided into the plaster group and the splint group according to random number table method,with 32 cases in each group.The plaster group was fixed with long-arm plaster in supination position,and the splint group was fixed with self-made splint in supination position.The time to fracture healing,the total incidence of complications,the Garland-Werley wrist score and the incidence of radioulnar joint instability were compared between the two groups.Results There were no statistically significant differences in fracture healing time and the excellent and good rate of Garland-werley wrist score between the two groups(P>0.05).The incidence of radioulnar joint instability in the splint group was lower than that of the plaster group,and the difference was statistically significant(P<0.05).The total incidence of complications in the splint group was lower than that in the plaster group,and the difference was statistically significant(P<0.05).Conclusion The self-made splint fixation in supination position is more conducive to maintaining the stability of the distal radioulnar joint.It has the advantages of simple operation,fewer complications,and good recovery of wrist joint function,which is more worthy of clinical promotion.
作者
林华培
LIN Hua-pei(The First Department of Orthopedics,Guangzhou Integrated Traditional Chinese and Western Medicine Hospital,Guangdong Province,Guangzhou510800,China)
出处
《中国当代医药》
CAS
2021年第23期106-109,共4页
China Modern Medicine
关键词
桡骨远端骨折
下尺桡关节损伤
自制夹板
旋后位
Distal radius fracture
Injuries to the radioulnar joint
Self-made splint
Supination position
