摘要
目的:探讨掌侧锁定钢板螺钉内固定改良术对桡骨远端骨折患者手术相关情况、腕关节功能、疼痛度、关节活动度及生活质量的影响。方法:选取2020年3月—2021年3月在浏阳市骨伤科医院实施手术治疗的60例桡骨远端骨折患者为研究对象,抽签法分为两组,其中对照组30例实施外固定支架闭合复位手术,试验组30例则实施掌侧锁定钢板螺钉内固定改良手术。评价两组手术相关情况、腕关节功能、活动度及生活质量。结果:试验组术中失血量少于对照组,骨折愈合时间、住院总时间均短于对照组,术后并发症发生率低于对照组(P<0.05)。治疗后,试验组视觉模拟评分法(VAS)评分低于对照组,试验组Cooney腕关节评分,旋前、旋后、屈曲、背伸活动度及生活质量评分均高于对照组(P<0.05)。结论:桡骨远端骨折患者实施掌侧锁定钢板螺钉内固定改良术可以恢复腕关节活动度及功能,减少疼痛及并发症。
Objective:To explore the effect of the palmar locking steel plate screw internal fixation modified on surgery-related conditions,wrist function,pain degree,joint mobility and quality of life in patients with distal radius fracture.Method:A total of sixty patients with distal radius fractures who underwent surgical treatment in Liuyang Orthopedics Hospital from March 2020 to March 2021 were selected as the study subjects,they were divided into two groups by drawing lots method,the control group consisted of 30 patients who underwent closed reduction surgery with external fixation brackets,while the experimental group consisted of 30 patients who underwent palmar locking steel plates and screws internal fixation modified.The operation-related condition,wrist function,mobility and quality of life in the two groups were evaluated.Result:The intraoperative blood loss volume of the experimental group was less than that of the control group,fracture healing time,total hospital stay were shorter than those of the control group,and incidence of postoperative complications was lower than that of the control group(P<0.05).After treatment,visual analogue scale(VAS) score in the experimental group was lower than that in the control group,the Cooney wrist joint score,anterior,postrotation,flexion,back extension activity and quality of life of the experimental group were higher than those of the control group(P<0.05).Conclusion:Palmar locking steel plate screw internal fixation modified in distal radius fracture can restore wrist mobility and function,and reduce pain and complications.
作者
王初升
刘晓
WANG Chusheng;LIU Xiao(Hand and Foot Surgery Department,Liuyang Orthopedics Hospital,Liuyang 410327,China;不详)
出处
《中国医学创新》
CAS
2024年第3期39-43,共5页
Medical Innovation of China
关键词
桡骨远端骨折
掌侧锁定钢板螺钉内固定改良术
关节功能
疼痛
Distal radius fracture
Palmar locking steel plate screw internal fixation modified
Joint function Pain
