摘要
目的:探讨桡骨远端骨折患者掌侧入路切开复位锁定钢板内固定复位失败的影响因素。方法:回顾性分析2019年2月-2022年1月南平市第一医院收治的220例行掌侧入路切开复位锁定钢板内固定治疗的桡骨远端骨折患者的临床资料,所有患者均获得100 d的随访。依据患者随访期间内固定术复位失败发生情况分为复位失败组及复位成功组。查阅患者基线资料,并记录研究所需资料,将可能的因素纳入,经Logistic回归分析桡骨远端骨折患者行掌侧入路切开复位锁定钢板内固定复位失败的影响因素。结果:220例桡骨远端骨折患者随访期间发生内固定复位失败41例(18.64%),复位成功179例(81.36%)。复位失败组粉碎性骨折、患侧月骨凹塌陷、伴原发性骨质疏松症、桡骨远端背侧骨块加压固定情况与复位成功组比较,差异均有统计学意义(P<0.05);两组其他基线资料比较,差异均无统计学意义(P>0.05),经Logistic回归分析结果显示,粉碎性骨折、患侧月骨凹明显塌陷、伴原发性骨质疏松症、未进行桡骨远端背侧骨块加压固定情况均是桡骨远端骨折患者掌侧入路切开复位锁定钢板内固定复位失败的危险因素(OR>1,P<0.05)。结论:桡骨远端骨折患者掌侧入路切开复位锁定钢板内固定复位失败的危险因素可能为粉碎性骨折、患侧月骨凹明显塌陷、伴原发性骨质疏松症、未进行桡骨远端背侧骨块加压固定。
Objective:To explore the influencing factors of reduction failure in patients with distal radius fractures after open reduction and locking plate internal fixation via volar approach.Method:The clinical data of 220 patients with distal radius fractures treated by open reduction and locking plate internal fixation via volar approach in Nanping First Hospital from February 2019 to January 2022 were retrospectively analyzed.All patients were followed up for 100 d.According to the failure of internal fixation during the follow-up period,the patients were divided into reduction failure group and reduction success group.The baseline data of patients were reviewed,and the data required for the study were recorded,possible factors were included,the influencing factors of reduction failure after open reduction and locking plate internal fixation via volar approach in patients with distal radius fracture were found out by Logistic regression analysis.Result:During the follow-up of 220 patients with distal radius fractures,41 cases (18.64%) of internal fixation failed,and 179 cases (81.36%) of successful reduction.There were statistically significant differences in the comminuted fracture,lunate collapse on affected side,primary osteoporosis and compression fixation of dorsal bone mass of distal radius between the reduction failure group and the reduction success group (P<0.05);there were no statistical significant differences in other baseline data between the two groups (P>0.05).Logistic regression analysis results showed that comminuted fracture,combined with obvious collapse of lunate fossa,accompanied by primary osteoporosis and no compression fixation of dorsal bone mass of distal radius were the risk factors for reduction failure of open reduction and locking plate internal fixation via volar approach in patients with distal radius fracture (OR>1,P<0.05).Conclusion:The risk factors for reduction failure of open reduction and locking plate internal fixation via volar approach in patients with distal radius fracture ma
作者
邓有清
DENG Youqing(Nanping First Hospital,Nanping 353000,China)
出处
《中外医学研究》
2022年第28期142-146,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
桡骨远端骨折
掌侧入路
切开复位锁定钢板内固定术
复位失败
影响因素
Distal radius fracture
Volar approach
Open reduction and locking plate internal fixation
Reduction failure
Influencing factor
